OMB control number

[NCIPC] Evaluation of the Overdose Data to Action Technical Assistance Hub

OMB 0920-1355 · HHS/CDC.

OMB 0920-1355

The goal of this study is to continue monitoring and evaluating the effectiveness and impact of technical assistance (TA) provided to Overdose Data to Action (OD2A) in States and OD2A: LOCAL program recipients funded to implement opioid surveillance and prevention efforts in their jurisdictions. Specifically, the evaluation will gather real-time information to improve ongoing provision of TA and to demonstrate the overall impact of OD2A TA delivery. The information obtained through this evaluation will allow TA providers to assess OD2A recipients’ experience and utility of knowledge and resources gained through individual TA support, peer-to-peer sessions, and other group trainings. Ultimately, the evaluation data will inform subsequent rounds of TA and allow TA providers to make necessary adjustments to the overall TA strategy for continuous quality improvement. This will ensure recipients have the support necessary to implement strategies that will improve opioid surveillance and prevention policies and practices within their communities. The OD2A in States and OD2A: LOCAL recipient program staff and partners will participate in the data collection tools for this study.

The latest form for [NCIPC] Evaluation of the Overdose Data to Action Technical Assistance Hub expires 2027-12-31 and is listed under ICR 202409-0920-011.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920-1355 Focus Groups	Form and Instruction
Form 0920-1355 Implementation Feedback Form	Form and Instruction
Form 0920-1355 TA Feedback Form – Universal Events	Form and Instruction
Form 0920-1355 Annual Technical Assistance Survey	Form and Instruction
Form 0920-1355 TA Feedback Form (individual)	Form and Instruction
Att. 12 Privacy Act-Determination.pdf	Supplementary Document
Att. 13_Research Determination_TA Hub.pdf	Supplementary Document
PIA-TAC.pdf	Supplementary Document
Att. 10 FRN 60 Day.pdf	Supplementary Document
Att. 2 Authorizing Legislation.docx	Supplementary Document
Att. 1 OD2A-S and LOCAL Recipients List.docx	Supplementary Document
SSB Eval Technical Assistance Hub Overdose Prevention final.docx	Supporting Statement B
0920-1355_SSA Eval Technical Assistance Hub Overdose Prevention_10.08.24 (003).docx	Supporting Statement A
Focus Groups	Form and Instruction
Invitation to Complete the Annual Technical Assistance Survey (email)	Instruction
Implementation Feedback Form	Form and Instruction
TA Feedback Form – Universal Events	Form and Instruction
Invitation to Participate in Focus Groups (email)	Instruction
Annual Technical Assistance Survey	Form and Instruction
TA Feedback Form (individual)	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202409-0920-011	Revision of a currently approved collection	2024-10-22
202106-0920-004	New collection (Request for a new OMB Control Number)	2021-06-10		Approved without change

OMB Details

TA Feedback Form (individual)

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
Form 0920-1355	TA Feedback Form – Individual TA	Fillable Fileable	Form and instruction

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