Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0920-0900	ICR Reference No: 201407-0920-002
Status: Historical Active	Previous ICR Reference No: 201106-0920-017
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Contact investigation Outcome Reporting Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/08/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/17/2014
Terms of Clearance: In the context of an emergency response, like forms for additional diseases may be added as non-substantive changes.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	10/31/2014
Responses	4,577	0	3,347
Time Burden (Hours)	783	0	280
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	4,577	3,347	1,230
Annual Time Burden (Hours)	783	280	503
Annual Cost Burden (Dollars)	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Extensive review of the data to be collected resulted in changes to all forms, and burden associated with illness tracking for illnesses approved in prior version of this package has been slightly reduced as result. However, the addition of Ebola forms has significantly increased the burden (although this burden is included as a contingency).