View Information Collection Request (ICR) Package

OMB Control No: 0920-0728	ICR Reference No: 202302-0920-011
Status: Historical Active	Previous ICR Reference No: 202302-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0728
Title: [CSELS] National Notifiable Diseases Surveillance System (NNDSS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/23/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/14/2023
Terms of Clearance: Previous terms continue. Approved with the understanding that changes in data elements will be submitted as nonsub changes and larger revisions, including methodology, methods of administration, or the addition of conditions will be submitted as revisions. CDC will work with their OIRA desk officer to brief upcoming changes and determine the appropriate pathways for submission

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	36 Months From Approved	07/31/2025
Responses	7,276	0	7,276
Time Burden (Hours)	18,594	0	18,495
Cost Burden (Dollars)	0	0	838,689

Abstract: The National Notifiable Diseases Surveillance System (NNDSS) is the nation’s public health surveillance system used to monitor the occurrence and spread of nationally notifiable conditions. Respondents are 60 jurisdictions: public health departments in every U.S. state, New York City, Washington DC, 5 U.S. territories (American Samoa, the Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands), and 3 freely associated states (the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau). NNDSS provides the official source of statistics in the United States for nationally notifiable conditions and CDC is the sole repository for these national, population-based data. Recently the NNDSS platform was modernized and expanded as a low-cost, common portal for collecting information on other conditions. Among the thousands of diseases that affect the health of the population, CDC and the Council of State and Territorial Epidemiologists (CSTE) have prioritized the approximately 120 Nationally Notifiable Conditions as those most important for public health monitoring and response.

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

Citations for New Statutory Requirements: None

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

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 68699	11/16/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 9291	02/13/2023
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	7,276	7,276	0
Annual Time Burden (Hours)	18,594	18,495	99
Annual Cost Burden (Dollars)	0	838,689	-838,689

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: Changes to NNDSS in this revision include receipt of case notification data for CPO since it is now nationally notifiable, receipt of case notification data for Strongyloidiasis since it is under standardized surveillance, and receipt of disease-specific data elements for Brucellosis, Candida auris, CPO, Carbon Monoxide Poisoning, Hepatitis, Leptospirosis, Melioidosis, and Viral Hemorrhagic Fevers. The overall burden hours increased since the last revision because there were more one-time burdens associated with disease-specific data elements in this revision (161 disease-specific data elements) as compared to the last revision (24 disease-specific data elements). Going forward, there will be a one-time increase in the burden estimates each time new data elements or new conditions are added. The one-time increase in the burden estimates for adding new data elements will continue to be reflected as a separate line in the burden table in an ICR revision or a non-substantive change request. Note that the change in the total cost burden appears to be very large. However, the change in total cost burden is associated with the change in accounting method. In the past, CDC reported the cost burden for each IC as the wage-equivalents that appear in Section 12.B of the supporting statement. Consistent with the rest of HHS, CDC is now reporting the total from Section 13 in the "burden cost" field for each IC. Section 13 covers nonwage costs (e.g., equipment). As such, costs associated with these ICs are now "zero."

Annual Cost to Federal Government: $38,466,670

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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. Yes

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. Yes

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? Yes

Agency Contact: Renita Macaluso 770 488-6458 arp5@cdc.gov

View ICR - OIRA Conclusion