[NCIPC] Performance Monitoring of CDC’s Comprehensive Suicide Prevention Program

Forms and Documents

Document Name	Status
Syndromic Surveillance Report Form and Instruction	New
CSP Annual Progress Report Form and Instruction	Modified
Att C Research Determination.pdf Supplementary Document	2025-09-11
Att B 60Day FRN 2025-0014.pdf Supplementary Document	2025-09-11
Att A Authorizing Legislation.pdf Supplementary Document	2025-09-11
SSB_0920-1368 CSP_08272025.docx Supporting Statement B	2025-09-11
SSA 0920-1368 CSP_08272025_Clean_final.docx Supporting Statement A	2025-09-11

IC Document Collections

IC ID	Document Title	Status
277518	Syndromic Surveillance Report Form and Instruction	New
251126	CSP Annual Progress Report Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1368	ICR Reference No: 202509-0920-002
Status: Received in OIRA	Previous ICR Reference No: 202403-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1368
Title: [NCIPC] Performance Monitoring of CDC’s Comprehensive Suicide Prevention Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/22/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2025
Responses	120	24
Time Burden (Hours)	480	288
Cost Burden (Dollars)	0	0

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Abstract: The request is to reflect the addition of seven (7) new recipients. In September 2023, additional recipients were added to the Comprehensive Suicide Prevention Program. Recipients are required to develop a strategic action plan that outlines their comprehensive approach to suicide prevention and then to implement and evaluate this approach. This ICR collects performance monitoring data via a web-based Partners’ Portal. This data is needed to monitor the cooperative agreement program funded under the Comprehensive Suicide Prevention Program. This Revision includes an additional instrument and other minor changes.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: U.S. PHSA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 25288	06/16/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 45384	09/22/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
CSP Annual Progress Report	n/a	Annual Progress Report
Syndromic Surveillance Report	n/a	Syndromic Surveillance Report

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	120	24	0	96	0	0
Annual Time Burden (Hours)	480	288	0	192	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: A second instrument was added.

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Annual Cost to Federal Government: $202,420

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/22/2025

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