Change Request Justification

Change Request

Performance Measures Project

(OMB No. 0920-1282, Exp Date: 6/30/2026)

Summary:

As one of CDC’s primary overdose prevention initiatives, the Overdose Data to Action: Limiting Overdose through Collaborative Actions in Localities (OD2A: LOCAL) cooperative agreement occupies a unique niche within the larger scope of Health and Human Services’ (HHS) drug overdose initiatives, including the HHS Overdose Prevention Strategy (OPS). This change request is to modify two performance measures reported by OD2A: LOCAL recipients to focus on health impact-focused overdose prevention practices and interventions that affect populations disproportionately affected by overdose. The primary goal of performance measures in OD2A: LOCAL is to provide a common set of indicators that will be used by OD2A: LOCAL recipients and their partners, as well as by CDC, to monitor progress and identify areas for improvement. It is important to note, OD2A: LOCAL has a complementary cooperative agreement. OD2A in States (OD2A-S) works with state health department recipients. Together OD2A: LOCAL and OD2A-S are the two primary overdose cooperative agreements for CDC’s overdose prevention initiatives.

Attachments:

1. AttA_OD2A LOCAL PM Technical Guidance

2. AttB_OD2A LOCAL Excel Reporting Tool

3. AttC_OD2A LOCAL Contextual and Data Quality Questions for Performance Measures

Background and Justification:

The purpose of the OD2A: LOCAL is to support funded health departments to use data to drive action steps to reduce overdose morbidity and mortality as fast as possible, with a primary focus on opioid, stimulant, and polysubstance use involving opioids and/or stimulants. These action steps should address and inform prevention and response efforts for the general population as well as populations disproportionately affected by overdose across states and local jurisdictions. Information collected in performance measures will provide crucial data for program performance monitoring and program success. Performance measures were designed in collaboration with CDC subject matter experts, OD2A: LOCAL recipients, and other selected experts. Data collection will include 100% of jurisdictions funded in the OD2A: LOCAL NOFO. Data will be analyzed using descriptive and summary statistics, and qualitative summaries. These standardized performance measures will be used to help:

1. Recipients show progress and communicate progress to their health department leadership.

2. CDC and recipients inform future CDC programmatic investments.

3. CDC and recipients understand the contributions of OD2A: LOCAL across overdose prevention strategies and use data for programmatic improvement.

4. CDC communicate with Health and Human Services (HHS) and other federal policymakers about the progress made under OD2A: LOCAL.

OD2A: LOCAL performance measures are committed to addressing data driven delivery of and improved access to care and services for people who use drugs (PWUD) and other priority populations. Performance measures provide a specific focus on program impacts that demonstrate how OD2A: LOCAL addresses the needs of populations disproportionately affected by overdose as well as the overall populations within OD2A: LOCAL-funded jurisdictions. The focus on program impact measures will serve as a key complement to other performance measures focused on key prevention interventions.

Effect of Proposed Changes on Currently Approved Instruments:

Effects on currently approved instruments are limited to the updated focus of two measures—one qualitative and one quantitative—and their corresponding contextual and data quality questions. The proposed changes will result in modifications to data reported by OD2A: LOCAL recipients for their HE_Impact and HE_Activities performance measures to address health impact-focused overdose prevention practices focused on disproportionately affected populations.

Effects on Burden Estimate:

The requested changes will have no effects on previous burden estimates.

Type of Respondent	Form Name	No. of Respondents	No. of Responses per Respondent	Avg. Burden Per Response	Total Annualized Burden Hours
OD2A-LOCAL-funded territory, county, and city health departments	OD2A LOCAL Performance Measures Contextual Questions (see AttA and AttC)	40	1	20	800
	OD2A LOCAL Reporting tool (see AttB)	40	1	15	600
Totals					1400

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