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:
0920-0457
ICR Reference No:
201609-0920-016
Status:
Historical Active
Previous ICR Reference No:
201307-0920-007
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0457
Title:
Aggregate Reports for Tuberculosis Program Evaluation
Type of Information Collection:
Reinstatement without change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/17/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/27/2016
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/29/2020
36 Months From Approved
Responses
272
0
0
Time Burden (Hours)
226
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
This is a request for extension of OMB approval of a previously approved collection. The Division of Tuberculosis Elimination (DTBE)/ (NCHHSTP)/CDC is submitting two public health report forms representing (1) denominator-based outcome measurements, (2) technology for data storage and transmission, and (3) the primary public health strategies for tuberculosis (TB) control. The respondents for the reports are the 68 state and local health departments having federal TB cooperative agreements.
Authorizing Statute(s):
US Code:
42 USC 241
Name of Law: Public Health Service - Research and Investigations generally
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:
81 FR 43203
07/01/2016
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 66030
09/26/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual
None
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual
None
Targeted Testing and Treatment for Latent TB Infection - Program Managers- (manual)
Follow-up and Treatment for Contacts to TB Cases - Managers- manual
None
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - Program Managers- (Manual)
Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)
None
Follow-up and Treatment of Contacts to Tuberculosis Case Form
Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)
None
Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)
Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers)
None
Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers)
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
272
0
0
272
0
0
Annual Time Burden (Hours)
226
0
0
226
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:
There are no program changes or adjustments. The burden has not changed from the burden shown in the current inventory.
Annual Cost to Federal Government:
$75,040
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:
09/27/2016
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