Information Collection Request

Adult and Pediatric HIV/AIDS Confidential Case Reports for National HIV/AIDS Surveillance

ICR 200611-0920-001 · OMB 0920-0573 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form CDC 50.42A 0920-0573 - Adult Case Report: AIDS Form Modified Available
Form None assigned 0920-0573 - Enhance Perinatal Surveillance (EPS) Data Collection Form and Instruction New Repair queued
Form CDC 50.42A 0920-0573 - VARHS -variant, atypical, and resistant HIV Surveillance Data Elements Form New Available
Form CDC 50.42A 0920-0573 - Case Report Updates Form New Available
Form CDC 50.42B 0920-0573 - Pediatric Case Report: HIV Form New Available
Form CDC 50.42B 0920-0573 - Pediatric Case Report: AIDS Form New Available
Form CDC 50.42A 0920-0573 - Adult Case Report: HIV Form New Available
Attachment E CRF instructions.pdf Supplementary Document Uploaded 2006-11-15 Repair queued
0920-0573 30-Day FRN published.htm Supplementary Document Uploaded 2006-11-15 Repair queued
Attachment M statistical consultation summary.pdf Supplementary Document Uploaded 2006-11-14 Available
Attachment L Assurance.pdf Supplementary Document Uploaded 2006-11-14 Available
Attachment J Surv Coord and Consultants.pdf Supplementary Document Uploaded 2006-11-14 Repair queued
Attachment I HASR.pdf Supplementary Document Uploaded 2006-11-14 Repair queued
Attachment K Seccon.pdf Supplementary Document Uploaded 2006-11-14 Available
Attachment B.pdf Supplementary Document Uploaded 2006-11-14 Available
Attachment A Public Health Laws 42 USC 242b 242 k and 242m.pdf Supplementary Document Uploaded 2006-11-14 Available
0920-0573 - Abstract for Part I.doc Supplementary Document Uploaded 2006-11-14 Repair queued
0920-0573 Supporting Statement final 111306.doc Supporting Statement A Uploaded 2007-02-02 Available
ICR Details
0920-0573 200611-0920-001
Historical Active 200210-0920-004
HHS/CDC
Adult and Pediatric HIV/AIDS Confidential Case Reports for National HIV/AIDS Surveillance
Revision of a currently approved collection   No
Regular
Approved with change 02/02/2007
Retrieve Notice of Action (NOA) 11/15/2006
Approved consistent with revised supporting statement submitted to OMB 1/30/06. CDC is reminded that the Paperwork Reduction Act mandates that collection of new data elements or other changes to approved information collections be approved by OMB prior to implementation.
  Inventory as of this Action Requested Previously Approved
02/28/2010 36 Months From Approved 02/28/2007
271,337 0 79,981
57,774 0 13,191
0 0 0

[See attachment]

US Code: 42 USC 242k Name of Law: National Center for Health Statistics
   US Code: 42 USC 242b Name of Law: General Authority Respecting Research...
  
None

Not associated with rulemaking

  70 FR 48551 08/18/2005
71 FR 66530 11/15/2006
No

  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 271,337 79,981 0 191,356 0 0
Annual Time Burden (Hours) 57,774 13,191 0 44,583 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Changing Forms
The increase in burden is due to several factors. First we have refined the methods used to calculate burden to better reflect the variety of follow-up activities respondents (health departments) conduct to compile and complete case reports We have also incorporated estimated burden activities for evaluations and case updates. Finally, we have included estimated burden for collection of additional data elements for incidence surveillance, variant, atypical and resistant HIV surveillance, and enhanced perinatal surveillance.

$58,000,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Saleda Perryman

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/15/2006