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:
201805-0920-010
Status:
Historical Active
Previous ICR Reference No:
201803-0920-010
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0978-18AKP
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:
Approved without change
Conclusion Date:
06/05/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/05/2018
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
05/31/2021
05/31/2021
05/31/2021
Responses
115,600
0
115,600
Time Burden (Hours)
40,349
0
40,349
Cost Burden (Dollars)
0
0
0
Abstract:
The Emerging Infections Programs (EIP) is to 1) detect and monitor emerging pathogens, the diseases they cause, and the factors influencing their emergence, and respond to problems as they are identified, 2) integrate laboratory science and epidemiology to optimize public health practice, 3) strengthen infrastructure to support surveillance and research and to implement prevention and control programs, and to 4) ensure implementation of prevention strategies and communication of public health information about emerging diseases. Surveillance efforts of the core EIP activities generate reliable estimates of the incidence of certain infections and provide the foundation for a variety of epidemiologic studies. This non-substantive change request is for a change to the disease-specific data elements for HAIC only. The form for which approval for change is sought is the 2018 Clostridium difficile Infection (CDI) Case Report Form. Description of Changes • Question 11c: the data field for “Facility ID” would be added • Question 14: The option to answer “Unknown” would be added” The changes made to the HAIC CDI form under this non-substantive request will aid in improving surveillance efficiency and data quality to clarify the burden of disease and possible risk factors for disease. As a result of proposed minor change, the estimated annualized burden is expected not to change.
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:
82 FR 60608
12/21/2017
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 17412
04/19/2018
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
27
IC Title
Form No.
Form Name
ABCs Case Report Form
17AHK
Att. 1 - 2017 ACTIVE BACTERIAL CORE SURVEILLANCE CASE REPORT
ABCs H. Influenzae Neonatal Sepsis Expanded Surveillance Form
17AHK
Att. 2 - ABCs H. Influenzae Neonatal Sepsis Expanded Surveillance Form_HiNSES
ABCs Invasive Pneumococcal Disease in Children
17AHK
Att. 4 - ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) INVASIVE PNEUMOCOCCAL DISEASE IN CHILDREN
ABCs Neonatal Infection Expanded Tracking Form
17AHK
Att. 3 - ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) Neonatal Infection Expanded Tracking Form
ABCs Severe GAS Infection Supplemental Form
0920-0978
ABCs - Severe GAS Infection: Supplemental Form
ABCs Surveillance for Non-Invasive Pneumococcal Pneumonia (SNiPP) Case Report Form
none, CDC
Non Bacteremic Pneumococcal 2015
,
2016 Surveillance for Non-Invasive Penumococcal Pneumonia (SNiPP)
FoodNet Campylobacter
0920-0978
FoodNet Variable List (site transmitted variables)
FoodNet Cryptosporidium
0920-0978
FoodNet Variable List (site transmitted variables)
FoodNet Cyclospora
0920-0978
FoodNet Variable List (site transmitted variables)
FoodNet Hemolytic Uremic Syndrome (HUS)
NA
FoodNet Hemolytic Uremic Syndrome (HUS) Surveillance
FoodNet Listeria monocytogenes
0920-0978
FoodNet Variable List (site transmitted variables)
FoodNet Salmonella
0920-0978
FoodNet Variable List (site transmitted variables)
FoodNet Shiga toxin producing E. coli
0920-0978
FoodNet Variable List (site transmitted variables)
FoodNet Shigella
0920-0978
FoodNet Variable List (site transmitted variables)
FoodNet Vibrio
0920-0978
FoodNet Variable List (site transmitted variables)
FoodNet Yersinia
0920-0978
FoodNet Variable List (site transmitted variables)
HAIC CDI Case Report Form
0920-0978
Clostridium Difficile Infection (CDI) Surveillance Emerging Infections Program Case Report
HAIC Candidemia Case Report Form
0920-0978
CANDIDEMIA - CASE REPORT FORM
HAIC Invasive Methicillin-Sensitive Staphylococcus aureus (MSSA)
0920-0978
Invasive Methicillin-Sensitive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report – 2018
HAIC Invasive Methicillin-resistant Staphylococcus aureus (MRSA)
0920-0978
Invasive Methicillin-Resistant Staphylococcus aureaus Healthcare-Associated Infections Community Interface(HAIC) Case Report - 2018
HAIC Multi-Site Gram-Negative Bacilli Case Report Form (MuGSI-CRE/CRAB)
VERSION:01-2016, NA, 0920-09078, VERSION: 11/2017
2015 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare Associated Infection Community Interface (HAIC) Case Report
,
2016 Multi-site Gram Negative Surveillance Initiative (MuGSI) Healthcare Associated Infection Community Interface (HAIC) Case Report
,
2017 Multi-site Gram-Negative Surveillance Initiative (MuGSI) HAIC Case Report
,
2018 Multi-Site Gram-Negative Surveillance Initiative (MuGSI) Healthcare Associated Infection Community Interface (HAIC) Case Report
HAIC Multi-Site Gram-Negative Bacilli Case Report Form for Carbapenem-Resistant Pseudomonas ajeruginosa (CR-PA)
0920-0978
Carbapenem-resistant Pseudomonas aeruginosa Multi-Site Gram-Negative Surveillance (MuGSI) Case Report
HAIC Multi-Site Gram-Negative Surveillance Initiative - Extended Spectrum Beta-Lactamase Producing Enterobacteriaceae (MuGSI-ESBL)
0920-0978
Surveillance for Extended-Spectrum Beta- Lactamase-Producing Enterobacteriaceae Multi-Site Gram-Negative Bacilli Surveillance (MuGSI) Healthcare Associated Infection Community Interface (HAIC) CRF
Influenza Hospitalization Surveilance Network Case Report Form
0920-0978
2017-18 FluSurv-NET Influenza Hospitalization Surveillance Project Case Report Form
Influenza Hospitalization Surveillance Project Provider Vaccination History Fax Form (Children/Adults)
0920-0978
FluServ-NET Provider Vaccination History Fax Form
Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (English)
0920-0978, 0920-0978
FluServ-NET Consent Form - English
,
FluSurv-NET Vaccination Phone Script (English/Spanish)
Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (Spanish)
0920-0978, 0920-0978
FluServ-NET Consent Form - Spanish
,
FluSurv-NET Vaccination Phone Script (English/Spanish)
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
115,600
115,600
0
0
0
0
Annual Time Burden (Hours)
40,349
40,349
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$31,091,990
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:
06/05/2018
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