0920-1461 ORS Quarterly Reporting Template 07JAN2026

[NCIPC] Overdose Response Strategy Data Collection

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ORS Quarterly Reporting Template

OMB: 0920-1461

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OMB No: 0920-1461

Exp. Date: 08-31-2028


The public reporting burden of this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to—CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333 ATTN: PRA (0920-1461)

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ORS Quarterly Reporting Template


Project Data Entry - State Staff


Field Name

Required

Data Type

Character Limit

Format/Values

Description

Project Overview

Project Name

Character

100


Free text field

Project Description

Character

1,000


Brief description of the overall purpose and activities of the project. All acronyms should be defined on first use.

Project Status

Selection


In Progress

Complete

On Hold

Discontinued

In progress indicates that project activities took place in the quarter and it is ongoing.

Complete indicates that project activities are complete.

On hold indicates that progress on project activities are not continuing forward during the quarter but will/may carry on in the future.

Discontinued indicates that project activities are no longer being pursued.

Project Start Quarter

Selection



This field determines the first quarter (e.g., 2023 Q1) of reporting for a project. It only appears when a project is first created.

Project Start Date

Date


MM/DD/YYYY

Approximate start date of project activities

Project End Date

Dependent on project status

Date


MM/DD/YYYY

End date of project activities for complete projects. Only displays if the project status is complete, archived, or discontinued.

Project Updates

Quarterly Overview

ORS Strategies and Activities

✔At least one strategy and one corresponding activity is required.

Selection


See list in appendix

Select all strategies and activities that are applicable to the activities of the project for this quarter.

Is this project in your current action plan?

Binary


Yes

No

Indicates whether the project is currently listed in ORS team’s annual action plan.

ORS Project Team

Primary Data Reporter

Selection


Checkbox

This is assigned to the staff member who created the project. A national administrator can update the primary data reporter as needed.

ORS Collaborator

Selection


Filters by list of state/jurisdiction staff

First and last name of staff member who supported the project during the reporting quarter.

Project Focus

Geographies

State/Jurisdiction

Selection


All U.S. states/ territories with ORS teams

State/jurisdiction(s) impacted by the activities of the project. Only 1 state can be selected per row, so the counties are specific to that 1 state. However, users can add multiple rows if the project covers multiple states.

Counties


Selection


All counties within applicable state/jurisdiction

Within state/jurisdiction, specific counties impacted by the activities of the project.

Cities


Selection


Major cities within applicable state/jurisdiction

Within state/jurisdiction, specific cities impacted by the activities of the project.

Populations

Was this project designed to impact populations disproportionately at risk for overdose?


Character

1000


One to three sentences describing populations impacted by the project.

Substances

Did the project target a specific substance?


Selection


Select if yes

Selection is completed only if project activities were focused on addressing specific substances. Otherwise, users do not need to take any action.

Substance

if the field appears because the previous question was selected.

Selection


Opioids

Stimulants

Hallucinogens

Depressants

Cannabis

Polysubstances

Select one or more substance categories if specifically impacted by project activities. All options cannot be selected. All options cannot be selected; if the project addressed all substances rather than one or more specific categories then the previous question should not be selected.

Outcomes in Progress

Outcomes in Progress

✔ if no data to enter into Outcomes Completed table below, otherwise N

Character

1,000


Description of outcomes in progress not captured in completed outcome table below.

Outcomes Completed

  • Reporter is only required to input one outcome in the table below. If no outcome is reported, then the “Outcomes in Progress” section above requires completion.

Strategy 1 (The following 6 outcomes only display if Strategy 1 is selected):

1. Enhanced existing data system

2. Created new data system

3. Delivered presentation(s)/briefing(s)

4. Created report (including, but not limited to, briefs, bulletins, visualizations, dashboards)

5. Delivered ODMAP presentation(s)

6. Executed ODMAP participation agreement(s)


For each Strategy 1 outcome, the following measures are collected:

Description

Character

1,000


Description of support provided by ORS team for the designated outcome.

Partner Supported

Selection


Checkbox, see appendix for list of valid values. If “Other” is selected, a description must be provided.

Type(s) of partner(s) supported for the outcome completed.

Total Number*


Numeric

3

1-999

Total number of reports or ODMAP participation agreements executed.

Estimated Number of Attendees


Numeric

3

1-999

Estimated number of people who attended presentation(s) or briefing(s).

*Only collected for Strategy 1, Outcomes 4, 6

Only collected for Strategy 1, Outcome 3

Strategy 2 (The following 10 outcomes only display if Strategy 2 is selected):

1. Established new multi-sector team (OFR)

2. Established new multi-sector team (PHAST)

3. Established new multi-sector team (Other)

4. Supported existing multi-sector team (OFR)

5. Supported existing multi-sector team (PHAST)

6. Supported existing multi-sector team (Other)

7. Enhanced jurisdictional partnerships/collaboration

8. Created/implemented OFR recommendation

9. Developed multi-sector rapid response/spike response plan

10. Tested and/or enhanced multi-sector rapid response/spike plan


For each Strategy 2 outcome, the following measures are collected:

Description

Character

1,000


Description of support provided by ORS team for the designated outcome.

Partner Supported

Selection


Checkbox, see appendix for list of valid values. If “Other” is selected, a description must be provided.

Type(s) of partner(s) supported for the outcome completed.

Strategy 3 (The following 7 outcomes only display if Strategy 3 is selected):

1. Developed educational/informational materials

2. Developed communication campaign(s)

3. Developed training

4. Delivered training

5. Hosted community event

6. Supported community event

7. Evaluated results of training or event


For each Strategy 3 outcome, the following measures are collected:

Description

Character

1,000


Description of support provided by ORS team for the designated outcome.

Audience Type

Selection


Checkbox, see appendix for list of valid values. If “Other” is selected, a description must be provided.

Type(s) of audience that received educational/informational materials, communication campaigns, trainings or intended audience of community events.

Total Number*

Numeric

3

1-999

Total number of educational or information materials, communication campaigns or trainings delivered,

Estimated Number of Attendees


Numeric

3

1-999

Estimated number of people who attended trainings or who provided feedback on trainings.

*Only collected for Strategy 3, Outcomes 1, 2, 4

Only collected for Strategy 3, Outcomes 4, 7

Strategy 4 (The following 4 outcomes only display if Strategy 4 is selected):

1. Developed protocol

2. Provided Technical Assistance session

3. Implemented new program/intervention

4. Supported existing program/intervention


For each Strategy 4 outcome, the following measures are collected:

Description

Character

1,000


Description of support provided by ORS team for the designated outcome.

Partner Supported

Selection


Checkbox, see appendix for list of valid values. If “Other” is selected, a description must be provided.

Type(s) of partner(s) supported for the outcome completed.

Other Completed Activities

Are there other completed outcomes you would like to report?


Selection


Checkbox

Since activities only display when a strategy is selected, this field provides teams an opportunity to view the full list of reportable outcomes. When this checkbox is selected, teams will be able to report on outcomes that did not populate automatically.

Success Stories

Title

Character

100


A short title (10 words or less) that summarizes the success story.

Challenge

Character

1,000


Description of the problem/challenges addressed in the success story.

Approach/ Activities

Character

1,000


Description of the activities implemented and parties involved.

Results/ Outcomes

Character

1,000


Description of how the activity addressed the problem.

ORS Staff Involved


Selection


Collaborators selected on project

Collaborators listed on the project will be populated here. Select one or more individuals that were involved in the success story.

Attachment (Type of attachment, Other attachment type, Attachment)


Type of attachment: selection

Other attachment type: character, Attachment: file upload

Up to 5GB

Videos and files of any type

Attachments can be used to share visuals/documents associated with the success story, including a direct quote or testimonial from a partner or participant, pictures, promotional materials, press release, an example of the work products (e.g., reports/bulletins), etc. Only non-sensitive attachments should be uploaded.



National Admin Only


Field Name

Required

Data Type

Character Limit

Format/Values

Description

Staff Directory - Add/Edit Staff Member

First Name

Character

25



Last Name

Character

25



Phone (mobile)

Number

20


+1XXXXXXXXXX

Must be able to accept text messages for two-factor authentication.

Phone (office)


Number

20

XXX XXX XXXX with optional extension xXXX

Optional field

Email

Character

50

yourname@example.com

This is the email that the system invitation will be sent to.

Is this staff member active?

Selection



This field only appears when editing an existing staff member. It controls whether the user has access to the ORSTRS system.

State or National Role

Selection


State

National


National - Role

Either a selection must be made for this field or National Admin must be checked

Selection


National Read-Only

National Reviewer

Options only display if “National” is selected for State or National Role.

National Admin

Either a selection must be made for role or National Admin must be checked

Selection



Box indicates that individual has a role as an administrator of the system.

State - Role

Selection


DIO

PHA

Options display if “State” is selected for State or National Role.

National Reviewer

Selection


List includes all staff assigned national reviewer roles

Options display if “State” is selected for State or National Role. Select the national reviewer responsible for reviewing project updates by the primary reporter.

HIDTA

Selection


List of all HIDTA programs

Options display if “State” is selected for State or National Role. Select the HIDTA the staff member covers.

State/Jurisdiction

Selection


List of all states and territories in ORS program

Options display if “State” is selected for State or National Role. Select the state/jurisdiction the staff member covers.

Review Process

Add a comment /edit a comment /submit /request changes /approve modal

for add a comment, edit a comment, and request changes, otherwise not required

Character

1,000


Comment can address questions or other information for primary data reporter, collaborator, or reviewer.

Notify primary data reporter of requested changes by email


Selection



This field only appears when the action is “Request changes”

Success Stories

Final Version


Character

1,000


Only editable by national admin or national reviewer. Final description of the success story when the project is complete.

Featured Products (Product type, Other product description, Month, Year)


Product type: selection

Other product description: character

Month: selection

Year: selection




Only editable by national admin or national reviewer. List of product(s) in which this success story is featured.






Appendix A. Valid Values


Field: ORS Strategies and Activities


Strategy 1 (SHARE & CONNECT) – Expand access and quality of cross-sector data, insights and trends to inform a coordinated response to the overdose crisis.

1.1 Maintain or improve the functionality (e.g., access, timeliness, accuracy or content) of existing data systems or create new data systems to meet an identified need.

1.2 Develop, design or disseminate data briefs, reports, presentations, visualizations, or bulletins on drug trends and emerging threats

1.3 Disseminate intelligence on interdiction and drug trafficking patterns/trends.

Strategy 2 (COLLABORATE) – Build sustained cross-sector coordination and collaboration to enhance overdose prevention and response efforts.

2.1 Facilitate cross-sector partnerships for the purposes of leveraging or optimizing resources.

2.2 Support the development or implementation of multi-sector teams, taskforces or workgroups.

2.3 Develop, test and refine multi-sector rapid response or spike response plans.

Strategy 3 (INFORM & PROMOTE) – Educate and train community members and partners on effective* overdose prevention, treatment and recovery strategies.

3.1 Support the dissemination of communication campaigns and informational materials.

3.2 Develop or deliver trainings to partners or community members.

3.3 Host or participate in community events that support overdose prevention, treatment or recovery awareness.

Strategy 4 (HELP & IMPLEMENT) – Help partners implement, improve and expand access to effective* overdose prevention, treatment and recovery support services.

4.1 Support partners in developing protocols and strategies for implementing effective interventions (e.g., naloxone distribution, MOUD).

4.2 Assist partners in implementing programs for intended audiences and communities at increased risk of overdose.

4.3 Provide technical assistance to support monitoring program impact and the implementation of effective strategies.



Fields: Partner Categories, Audience

Community Partners

  • Overdose Prevention Program 

  • Advocacy Organization/Coalition 

  • Drug Free Community 

  • Faith-based Organization 

  • People with Lived Experience 

  • Recovery Community Organization


Public Health and Medical Organizations

  • Local/State Health Department 

  • Medical Examiner/Coroner 

  • Emergency Department/Hospital 

  • Substance Use Treatment Provider


First Responders

  • Law Enforcement 

  • Emergency Medical Services 

  • Fire Department


Justice-Involved Organizations

  • Jail and prison 

  • Probation and parole 

  • Prosecutor/Attorney

  • Reentry and Transitional Support Program


Schools

  • Elementary or middle school

  • High school

  • Higher Education 


Social and Supportive Services

  • Child and Family Services 

  • Housing services/Recovery Housing Program


Other

  • E.g., tribal and indigenous partners, policy and research organizations, etc.

7 v.5 12/18/2025

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AuthorOlivia Turner
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File Created2026-01-09

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