OMB control number

[NCIPC] Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement

OMB 0920-1283 ยท HHS/CDC.

OMB 0920-1283

This is a revision request for the previously approved ICR to continue collecting program monitoring and reporting information from jurisdictions (which include states, Washington, D.C., U.S. Territories, cities, and counties) currently funded under the Overdose Data to Action (CDC-RFA-CE19-1904) notice of funding opportunity (OD2A NOFO). Reporting requirements have been carefully designed to align with and support the specific goals and outcomes outlined in the OD2A NOFO. This revision request is to initiate data collection activities for two new Overdose Data to Action NOFOs, the Overdose Data to Action in States (OD2A-S) will collect program monitoring and reporting information from states and Washington, D.C. The Overdose Data to Action-Limiting Overdose through Collaborative Actions in Localities (OD2A-LOCAL) will collect program monitoring and reporting information from U.S. Territories, cities, and counties. This non substantive change request updates questions used in OMB 0920-1283 Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement to be in accordance with E.O. 14168 & E.O. 14151.

The latest form for [NCIPC] Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement expires 2026-07-31 and is listed under ICR 202508-0920-007.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-n/a OD2A-LOCALData Management Plan TemplateForm and Instruction
Form 0920-n/a OD2A-LOCAL Evaluation and Performance Measuring Plan TemplateForm and Instruction
Form 0920-1283 OD2A-S Data Management Plan TemplateForm and Instruction
Form 0920-1283 OD2A-S Annual Performance Report and Work PlanForm and Instruction
Form 0920-1283 Activity Progress Report and Work Plan ToolForm and Instruction
Form 0920-26-0178 OD2A-LOCAL Annual Performance Report and Work PlanForm
Form 0920-1283 Organizational Capacity Assessment - Annual ReportingForm and Instruction
Form 0920-25-0159 OD2A-S Annual Performance Report and Work Plan_08.2025Form
Form 0920-1283 Evaluation and Performance Measuring Plan Template - Annual ReportingForm and Instruction
Att 5_PIA_OD2A_2026.pdfSupplementary Document
Att 4a public comment_OD2A_2026.pdfPublic Comments
Att 6 Research determination OD2A_2026.pdfSupplementary Document
Att 2 List of Funded Jurisdictions.docxSupplementary Document
Att 1_Authorizing Legislation.docxSupplementary Document
Change Request Memo - 0920-1283.docxJustification for No Material/Nonsubstantive Change
SSB_1283 OD2A_2026_Final.docxSupporting Statement B
SSA_1283_OD2A_2026_Final.docxSupporting Statement A
OD2A-LOCAL Data Management Plan Template Form and Instruction
OD2A-LOCAL Evaluation & Performance Measurement Plan Template Form and Instruction
OD2A-S Data Management Plan Template Form and Instruction
(OD2A-S) Annual Performance Report and Work Plan Form and Instruction
Activity Progress Report and Work Plan Tool - Annual Performance Report Form and Instruction
OD2A-LOCAL Annual Performance Report and Work Plan Form
Organization Capacity Assessment - Annual Reporting Form and Instruction
[OD2A] S-Annual Performance Report and Work Plan Form
Evaluation and Performance Measuring Plan Template Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202604-0920-006 Revision of a currently approved collection 2026-04-28
202301-0920-001 Revision of a currently approved collection 2023-01-25 Approved without change
202108-0920-016 No material or nonsubstantive change to a currently approved collection 2021-09-14 Improperly submitted and continue
201910-0920-003 New collection (Request for a new OMB Control Number) 2019-11-05 Approved without change

OMB Details

Evaluation and Performance Measuring Plan Template

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form 0920-1283Evaluation and Performance Measuring Plan Template - Annual ReportingFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.