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:
0920-1296
ICR Reference No:
202009-0920-021
Status:
Historical Active
Previous ICR Reference No:
202008-0920-008
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1296-20SE
Title:
Emerging Infections Program Tracking of SARS-CoV-2 Infections among Healthcare Personnel
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
04/28/2020
OIRA Conclusion Action:
Approved with change
Conclusion Date:
10/09/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/06/2020
Terms of Clearance:
Previous terms continue: Approved consistent with the understanding that all discussions and publications will clearly describe the limitations of the data, including its limited generalizability.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2020
10/31/2020
10/31/2020
Responses
5,620
0
5,620
Time Burden (Hours)
2,543
0
2,543
Cost Burden (Dollars)
0
0
0
Abstract:
The goal of this information collection is to inform guidance for healthcare facilities to protect the healthcare workforce from the effects of COVID-19, the disease caused by the novel coronavirus SARS-CoV-2. The healthcare workforce is a critical asset during this pandemic. Protecting healthcare personnel (HCP) is an essential component of protecting patients.The data collected from this project will be used to inform guidance for healthcare facilities to protect HCP. The Change Request involves minor modifications to the previously-approved instruments. CDC proposes to modify the protocol and the “Denominator form” to provide additional flexibility. The proposed modifications include additional options for reporting denominator data and allow EIP sites and facilities to report facility-specific denominator data and minor edits to the introductory scripts for HCP phone interview.
Emergency Justfication:
The CDC, in collaboration with Emerging Infections Program (EIP) sites, plans to implement a system to track and assess risk factors for SARS-CoV-2 infections among HCP. The objectives are to: 1) determine the extent of COVID-19 among HCP working in U.S. healthcare facilities; 2) describe characteristics of HCP exposed to or infected with SARS-CoV-2, including clinical activities and personal protective equipment use; and 3) compare exposures and other characteristics of HCP cases and exposed HCP that do not become cases to identify risk factors or protective factors for COVID-19. The information must be collected as soon as possible and this information is essential to CDC’s and state and local health departments’ ability, as well as that of healthcare facilities, to effectively address the national public health crisis caused by the novel coronavirus SARS-CoV-2 (COVID-19). As rates of infection and resulting hospitalizations continue to rise across the nation, healthcare personnel (HCP) are facing significant risk of contracting SARS-CoV-2 during their interactions with patients with suspected or confirmed COVID-19 or patients with unrecognized infection. Understanding the factors that place HCP at greater risk for infection as well as factors that may reduce risk is critical to the nation’s effective pandemic response. The U.S. healthcare workforce is among our most vital assets, and protecting our workforce also protects patients. CDC cannot reasonably comply with the normal clearance procedures due to the public harm that could escalate if routine processing of this request is required. CDC requests authorization to use a previously OMB-approved form (OMB Control No. 0920-1011, expiration date 04/23/2020) with minor modifications for 180 days to enable CDC and EIP sites to proceed immediately with tracking and interviewing of HCP infected with or exposed to SARS-CoV-2. Absent this emergency approval, CDC will not be able to implement Emerging Infections Program Tracking of SARS-CoV-2 Infections among Healthcare Personnel with the urgency that is required.
Authorizing Statute(s):
US Code:
42 USC 241
Name of Law: US 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
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2
0920-20MZ, 0920-1296, 0920-1296, 0920-1296
Assessment of Healthcare Personnel
,
Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2 Possible Reinfection Form
,
Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2 Form
,
Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2 Case/Non-Case 25AUG2020
EIP or State Health Dept Employee
0920-20MZ
EIP or State Health Dept Employee
Occupational Health Nurses at Healthcare Facilities (no form)
0920-20MZ
Occupational Health Nurses at Healthcare Facilities
Occupational Health Nurses at Healthcare Facilities -Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2: Denominator Form
0920-1296, 0920-1296
Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2: Denominator Form
,
Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2 06OCT2020
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
5,620
5,620
0
0
0
0
Annual Time Burden (Hours)
2,543
2,543
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:
$5,527
Does this IC contain surveys, censuses, or employ statistical methods?
No
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?
Yes
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:
10/06/2020
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