[Federal Register Volume 84, Number 207 (Friday, October 25, 2019)]
[Notices]
[Pages 57437-57438]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-23367]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-20-1128]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Centers
for Disease Control and Prevention (CDC) has submitted the information
collection request titled ``State Unintentional Drug Overdose Reporting
System (SUDORS)'' to the Office of Management and Budget (OMB) for
review and approval. CDC previously published a ``Proposed Data
Collection Submitted for Public Comment and Recommendations'' notice on
April 2, 2019 to obtain comments from the public and affected agencies.
CDC did not receive comments related to the previous notice. This
notice serves to allow an additional 30 days for public and affected
agency comments.
CDC will accept all comments for this proposed information
collection project. The Office of Management and Budget is particularly
interested in comments that:
(a) Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
(b) Evaluate the accuracy of the agencies estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and clarity of the information to
be collected;
(d) Minimize the burden of the collection of information on those
who are to respond, including, through the use of appropriate
automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology, e.g., permitting
electronic submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or send an email to [email protected]. Direct written comments
and/or suggestions regarding the items contained in this notice to the
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide
written comments within 30 days of notice publication.
Proposed Project
State Unintentional Drug Overdose Reporting System (SUDORS) (OMB
Control No. 0920-1128, Exp. 10/31/2020)--Revision--National Center for
Injury Prevention and Control (NCIPC), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
There has been a rapid increase in opioid overdose deaths since
2013. In the United States, more people are now dying of drug overdose
than automobile crashes, although opioids--both opioid pain relievers
(OPRs) and illicit forms such as heroin--are also a major factor in
overdose-related automobile crashes. On October 26, 2017, the U.S.
Department of Health and Human Services (HHS) declared the opioid
overdose epidemic to be a national public health emergency.
CDC established the State Unintentional Drug Overdose Reporting
System (SUDORS) in order to detect new trends in fatal unintentional
drug overdoses, support targeting of drug overdose prevention efforts,
and assess the progress of the HHS initiative to reduce opioid misuse
and overdoses. Respondents are state- or jurisdiction-level health
departments. The SUDORS surveillance system generates detailed, timely
public health information on unintentional, fatal opioid-related drug
overdoses and has been used to inform prevention and response efforts
at the national, state, and local levels. SUDORS consolidates and
supplements information available to health departments, including
vital statistics and records created by medical examiners and coroners
(ME/C). SUDORS is built on a web-based software platform and a
collaborative surveillance and data integration model developed by CDC
and health departments to improve understanding of homicide, suicide,
undetermined deaths, and unintentional firearm deaths (National Violent
Death Reporting System (NVDRS), OMB No. 0920-0607, exp. 11/30/2020).
Through SUDORS, CDC currently collects information that is not
provided on death certificates, such as whether the drug(s) causing the
overdoses were injected or taken orally; a toxicology report on the
decedent, if available; and risk factors for fatal drug overdoses
including previous drug overdoses, decedent's mental health, and
whether the decedent recently exited a treatment program. Without this
information, efforts to prevent drug overdose deaths are often based on
limited information available on the death certificate and anecdotal
evidence.
During the next three years, CDC will update the web-based SUDORS
interface to improve system performance, functionality, and
accessibility. CDC and health
[[Page 57438]]
departments will also expand the SUDORS case definition beyond the
current focus on opioid-related overdose deaths to include all
individuals who died of an unintentional or undetermined intent drug-
related overdose. The expanded focus will allow CDC and health
departments to begin characterizing overdose deaths attributable to
emerging illicit drug threats (e.g., non-opioid synthetic drugs),
deaths attributable to opioid co-use with other classes of drugs (e.g.,
gabapentin or benzodiazapine), and the extent to which certain types of
prescription drugs (both opioid and non-opioid) are involved in fatal
overdoses.
Participating states and jurisdictions will continue to report
SUDORS information to CDC through a module in the NVDRS web-based
platform. State- and jurisdiction-level public health departments will
be funded to abstract standardized data elements from ME/C reports as
well as death certificates. Beginning in 2020, cooperative agreement
goals include reducing the time lag for reporting from eight months to
no more than six months. Information can be entered into the SUDORS
system at any time, but reports on overdose deaths that occur between
January 1 and June 30 will be entered into the SUDORS by December of
the same calendar year. Data entry for overdose deaths that occur
between July 1 and December 31 will be complete by June of the next
calendar year. The accelerated reporting schedule is needed to support
timely identification of the causes of overdose deaths, and effective
public health intervention.
This Revision request does not entail a change in the estimated
burden per response, which is based on the time needed for a health
department to retrieve and refile vital statistics records, ME/C
records, etc. The estimated burden per response does not include the
time needed to abstract SUDORS data variables from those sources, since
this activity is funded by the SUDORS cooperative agreement. Total
estimated annualized burden will increase due to the inclusion of
additional types of overdose-related deaths. Also, increased
Congressional appropriation in 2019 to expand SUDORS nationwide as a
component of CDC's Overdose Data to Action (OD2A) Notice of Funding
Opportunity (NOFO) (CDC-RFA-CE19-1904, posted February 1, 2019)
requires expanding the number of participating jurisdictions from 50 to
52. OMB approval is requested for three years. The total estimated
annualized burden hours are 32,838.
Estimated Annualized Burden Hours
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Total number Average burden
Type of respondent Form name Number of of responses per response
respondents per respondent (in hours)
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Public Agencies.................... Retrieving and refiling 52 1,263 30/60
records.
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2019-23367 Filed 10-24-19; 8:45 am]
BILLING CODE 4163-19-P