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Rapid ED Overdose Data Form - Health Departments sharing data from Local Syndromic Data File
[NCIPC] Drug Overdose Surveillance and Epidemiology (DOSE)
OMB: 0920-1268
IC ID: 275045
OMB.report
HHS/CDC
OMB 0920-1268
ICR 202504-0920-022
IC 275045
( )
Documents and Forms
Document Name
Document Type
Form 0920-1268
Rapid ED Overdose Data Form - Health Departments sharing data from Local Syndromic Data File
Form and Instruction
0920-1268 Rapid ED Overdose Death Form
0920-1268 Att D_Rapid ED ODDF.xlsx
Form and Instruction
Information Collection (IC) Details
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