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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:
0920-0004
ICR Reference No:
201707-0920-010
Status:
Historical Active
Previous ICR Reference No:
201612-0920-014
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0004
Title:
National Disease Surveillance Program - II. Disease Summaries
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:
10/12/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/31/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2020
36 Months From Approved
10/31/2017
Responses
133,172
0
175,452
Time Burden (Hours)
24,801
0
32,012
Cost Burden (Dollars)
0
0
0
Abstract:
CDC requests approval for a Revision of 0920-0004 National Disease Surveillance Program - II. Disease Summaries. Revisions include addition of Forms, Discontinuation of Forms, and reformatting some questions. The overall result is a decrease in Burden Hours and Respondents.
Authorizing Statute(s):
US Code:
42 USC 241
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:
82 FR 18459
04/19/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 41267
08/30/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
19
IC Title
Form No.
Form Name
Att K Human Infection with Novel Influenza A Virus Case Report Form
NA
Human Infection with Novel Influenza A Virus Case Report Form (addition of Suspected Avian Source)
Att AA_ Influenza Virus Electronic year round - PHLIP_HL7 Messaging Data Elements
Att BB_ Influenza Virus Electronic year round PHIN-MS
Att D_NORS Foodborne Disease Transmission_ Person to Person Disease Transmission_Animal Contact_Environmental Contamination_Unknown Transmission Mode
CDC 52.13
NORS - Foodborne, Person-to-Person, Animal Contact, Environmental Contamination, Unknown Transmission Mode
Att E_WHO Collaborating Center for Influenza Virus Surveillance
NA
WHO Collaborating Center for Influenza Virus Surveillance
Att F US WHO Colloborating Laboratories Influenza Testing Methods Assessment
NA
WHO Collaborating Laboratories Influenza Testing Methods Assessment
Att G US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly
CDC 55.20
US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly
Att I_ US Outpatient Influenza-like Illiness Surveillance Network (ILINet) Daily Reports
None
US Outpatient Influenza like Illness Surveillance Network (ILINet) Daily Reports
Att J_Influenza Associated Pediatric Mortality Case Report Form
NA
Influenza-Associated Pediatric Mortality Case Report
Att L Human Infection with Novel Influenza A Virus with Suspected Avian Source
None
Human Infection with Novel Influenza A Virus with Suspected Avian Source
Att M Human Infections with Novel Influenza A Virus Severe Outcomes
None
Human Infection with Novel Influenza A Virus Severe Outcomes
Att N Novel Influenza A Virus Infection Contact Tracing Form
None
Novel Influenza A Virus Infection Contact Tracing Form
Att O_Novel Influenza A Virus Status Case Status Summary
None
Novel Influenza A Virus Case Status Summary
Att P Novel Influenza A Virus Case Screening Form
None
Novel Influenza A Virus Case Screening Form
Att Q_122 CMRS - City Health Officer or Vital Statistics Registrars Daily Mortality Report
CDC 43.50
122 CMRS -City Health Officers or Vital Statistics Registrars Daily Mortality Report
Att R_CMRS - City Health Officer or Vital Statistics Registrars Weekly Mortality Report
CDC 43.5, none
CMRS Weekly
,
122 CMRS-City Health Officers or Vital Statistics Registrars Weekly Mortality Report
Att S_Aggregate Hospitalization and Death Reporting Activity Weekly Report Form
none
Aggregate Hospital
Att T Antiviral Resistant Influenza Infection Case Report Form
none
Antiviral-Resistant Influenza Infection Case Report
Att U_National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment
CDC 55.83A, CDC 55.83D, CDC 55.83B
NREVSS Antigen Detection Worksheet
,
NREVSS Polymerase Chain Reaction (PCR) Worksheet
,
NREVSS Virus Isolation (culture) Worksheet
Att V_ National Enterovirus Surveillance Report 55.9
CDC 55.90
Enterovirus Surveillance System Report Form
Att W Adenovirus Typing Report Form
NA
National Adenovirus Type Reporting System (NATRS) Form
Att X Middle East Respiratory Syndrome Coronavirus (MERS) Patient Under Investigation (PUI) Form
None
Middle East Respiratory Syndrome (MERS) Patient Under Investigation (PUI) Short Form
Att Y_ Viral Gastroenteritis Outbreak Submission Form
None
Viral Gastroenteritis Outbreak Submission Form
Att Z_ Waterborne Diseases Transmission
CDC 52.12
NORS - Waterborne Disease Transmission
Att. CC Suspect Respiratory Virus Patient Form
NA
Suspect Respiratory Virus Patient Form
Att. H U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Workfolder_CDC 55.20E
CDC 55.20E
U.S. Outpatient Influenza-Like Illness Surveillance Network (ILINet) - Workfolder_CDC 55.20E
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
133,172
175,452
0
-42,280
0
0
Annual Time Burden (Hours)
24,801
32,012
0
-7,211
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:
Yes
Burden Reduction Due to:
Cutting Redundancy
Short Statement:
Submission of 0920-0004 is a Revision containing both addition to and subtraction from current Burden Hours for individual collection instruments. Submission of this Revision results in an overall decrease in Burden Hours and Respondents.
Annual Cost to Federal Government:
$9,665,000
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.
No
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.
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:
08/31/2017
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