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:
201507-0920-003
Status:
Historical Active
Previous ICR Reference No:
201502-0920-009
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0978
Title:
Emerging Infections Program
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:
02/24/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/13/2015
Terms of Clearance:
Previous terms continue: Approved consistent with the understanding that this consolidation will result in the modification and/or discontinuation of related CDC ICRs.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2019
36 Months From Approved
08/31/2016
Responses
81,110
0
42,010
Time Burden (Hours)
22,755
0
12,455
Cost Burden (Dollars)
0
0
0
Abstract:
This is a revision request seeking inclusion of additional core EIP activities to include Healthcare Associated Infections-Community (HAIC); active population-based surveillance for healthcare associated pathogens and infections (including Clostridium difficile infection). There are no changes being made to other parts of the EIP (ABCs, FoodNet or Influenza) included in this revision request..
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
60-day Notice:
Federal Register Citation:
Citation Date:
80 FR 26051
05/06/2015
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 39780
07/10/2015
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 Case Report Form
none
ABCsCRF 2015
ABCs Invasive Pneumococcal Disease in Children
none
Invasive Pneumococcal 2015
ABCs Neonatal Infection Expanded Tracking Form
none
Neonatal Tracking
ABCs Non Bacteremic Pneumococcal Disease
none
Non Bacteremic Pneumococcal 2015
CDI Case Report Form
NA
Clostridium Difficile Infection (CDI) Surveillance Emerging Infections Program Case Report
CDI Screening Form
CDI Telephone Interview
CDI Treatment Form
NA
EIP CDI Surveillance: CDI Case Treatment Questionnaire
Campylobacter
Cryptosporidium
Cyclospora
FluSurv-NET Influenza Hospitalization Surveilance Project Case Report Form
none
FluSurv-NET Influenza Hospital Surveillance Project
FluSurv-Net Project Consent Form
none
Consent
Hemolytic Uremic Syndrome (HUS)
Influenza Hospitalization Surveillance Project Vaccination Telephone Survey
none
Vaccination Telephone Survey - English
Invasive Methicillin - Resistant - Staphylococcus aureus ABCs Case Report Form
none
Invasive Methicillin-Resistant Staph
Legionellosis ABCs Case Report
none
Legionellosis Case Report
Listeria monocytogenes
Resistant Gram-Negative Bacilli Case Report Form
NA
2015 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare Associated Infection Community Interface (HAIC) Case Report
Salmonella
Shiga toxin producing E. coli
Shigella
Vibrio
Yersinia
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
81,110
42,010
0
39,100
0
0
Annual Time Burden (Hours)
22,755
12,455
0
10,300
0
0
Annual Cost Burden (Dollars)
0
0
0
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:
No
Burden Reduction Due to:
Short Statement:
Increase in Burden due to addition of HAIC data collection instruments to 0920-0978.
Annual Cost to Federal Government:
$20,221,865
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:
Jeffrey Zirger 404 639-7118 wtj5@cdc.gov
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:
07/13/2015