The purpose of this announcement is to provide updated guidance related to the Office of
Developmental Programs’ (ODP) IM Rebalancing Initiative. The guidelines are organized
into seven separate topics covering the following:

• Finalizing Incident Reports
• Reducing Duplicative and Multiple Incident Reports
• Clarifying the Definition of Serious Injury
• Clarifying the Definition for Discovery Date
• Managing Events Occurring Prior to Enrollment
• Discontinuing the Use of Optionally Reportable Events (OREs)
• Discontinuing the Use of Illness/Other and Illness/COVID Incident Categories

Attachment 1: ODPANN 25-093: Incident Management (IM) Rebalancing Initiative Phase 1 IM Guidance