View Information Collection Request (ICR) Package
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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:
0920-0978
ICR Reference No:
201501-0920-018
Status:
Historical Inactive
Previous ICR Reference No:
201402-0920-016
Agency/Subagency:
HHS/CDC
Agency Tracking No:
15FZ
Title:
Emerging Infections Program
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Withdrawn and continue
Conclusion Date:
01/29/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/22/2015
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2016
08/31/2016
08/31/2016
Responses
41,200
0
41,200
Time Burden (Hours)
12,319
0
12,319
Cost Burden (Dollars)
0
0
0
Abstract:
CDC is requesting minor changes for 2015 reporting of diseases reported under the Emerging Infections Program.
Authorizing Statute(s):
US Code:
42 USC 301
Name of Law: Public Health Service Act
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
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
24
IC Title
Form No.
Form Name
ABCs Neonatal Infection Expanded Tracking Form
none
Neonatal Tracking
Att 10_CDI Case Report Form
None
Clostridium Difficile Infection (CDI) Surveillance Emerging Infections Program Case Report
Att 11_CDI Treatment Form
None
EIP CDI Surveillance: CDI Case Treatment Questionnaire
Att 14_CDI Screening Form
None
Screening Questions for Clostridium difficile Telephone Interview
Att 15_CDI Telephone Interview
None
Community-associated Clostridium difficle Infection (CDI Surveillance Health Inter
Att 1_ABCs Case Report Form
CDC 52.15A
2015 Active Bacterial Core Surveillance (ABCs) Case Report
Att 2_ABCs Invasive Pneumococcal Disease in Children
None
Active Bacterial Core Surveillance (ABCs) Invasive Pneumococcal Disease in Children
Att 3_2015 Active Bacterial Core Surveillance (ABCs) Case Report Non-Bacteremic Pneumoccoccal Disease
CDC 52.15A
2015 Active Bacterial Core Surveillance (ABCs) Case Report Non-Bacteremic Pneumococcal Disease
Att 5_FluSurv-NET Influenza Hospitalization Surveilance Project Case Report Form
none
FluSurv-NET Case Report
Att 6_2014-15 Vaccination History Patient/Proxy Interview
none
Att 6_2014-15 Vaccination History Patient/Proxy Interview (English)
Att 8_FluSurv-Net Project Consent Form
None
Verbal Consent Form
Att16_Resistant Gram-Negative Bacilli Case Report Form
None
2015 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare Associated Infection Community Interface (HAIC) Case Report
Campylobacter
Cryptosporidium
Cyclospora
Hemolytic Uremic Syndrome (HUS)
Invasive Methicillin - Resistant - Staphylococcus aureus ABCs Case Report Form
none
Invasive Methicillin-Resistant Staph
Legionellosis ABCs Case Report
none
Legionellosis Case Report
Listeria monocytogenes
Salmonella
Shiga toxin producing E. coli
Shigella
Vibrio
Yersinia
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:
Changing Forms
Short Statement:
Requesting approval of a non-substantive change to modify forms and make minor burden changes. These forms are use to conduct surveillance to determine the incidence and epidemiologic characteristics of invasive diseases.
Annual Cost to Federal Government:
$6,872,123
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
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?
Uncollected
Agency Contact:
Thelma Sims 4046394771
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
01/22/2015
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