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:
0920-0853
ICR Reference No:
201904-0920-002
Status:
Historical Active
Previous ICR Reference No:
201603-0920-010
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0853
Title:
Asthma Information Reporting System (AIRS)
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:
05/06/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/04/2019
Terms of Clearance:
Previous terms continue: This collection is approved consistent with the following terms: (1) any changes to the screen shots will need to be submitted to OMB as a change, and (2) when the system goes live, the OMB control number and the public burden statement must be visible on the screen. CDC should work with OMB's desk officer to determine whether changes should be submitted as a revision or as a nonsub change.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2020
36 Months From Approved
06/30/2019
Responses
75
0
69
Time Burden (Hours)
89
0
82
Cost Burden (Dollars)
0
0
0
Abstract:
The purpose of this information collection (IC) is for CDC to continue to monitor state programs' planning and delivery of public health activities and the programs' collaboration with health care systems. The 25 awardees receive funding to implement a variety of public health strategies and activities related to asthma. AIRS is the system by which state asthma programs report their progress on National Asthma Control Program developed performance measures (PM), as well as state-level asthma emergency department (ED) visit and hospital discharge (HD) data.
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:
83 FR 62866
12/06/2018
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 12608
04/02/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
AIRS Emergency Department Visits Reporting
0920-0853
STATE [Year] Emergency Department Data
AIRS Hospital Discharge Reporting
0920-0853
STATE [Year] Hospital Discharge Data
AIRS Performance Measures Reporting
0920-0853
AIRS Performance Measure A. Health Care Reform Opportunities
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
75
69
0
6
0
0
Annual Time Burden (Hours)
89
82
0
7
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:
The number of awardees funded increased from 23 to 25, resulting in an increase in requested burden hours from 82 to 89. The number of optional performance measures (PMs) was increased to 5, while still maintaining the original 18 PMs; instructions for data collection instruments were clarified and updated.
Annual Cost to Federal Government:
$794,720
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.
Yes
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.
Yes
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:
04/04/2019
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