Information Collection Request

National Disease Surveillance Program - 1. Case Reports

ICR 200707-0920-005 · OMB 0920-0009 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form none assigned National Disease Surveillance Program - 1_Viral Hepatitis Case Record Form Modified Available
Form none assigned National Disease Surveillance Program - 1_Typhoid Fever Surveillance Report Form Modified Available
Form none assigned National Disease Surveillance Program - 1_Tularemia Form Modified Available
Form none assigned National Disease Surveillance Program - 1_Trichinosis Surveillance Case Report Form Modified Source copy available
Form none assigned National Disease Surveillance Program - 1_Tick-borne Rickettsial Disease Case Report Form Modified Available
Form none assigned National Disease Surveillance Program - 1_Reye Syndrome Case Surveillance Report Form Modified Repair queued
Form none assigned National Disease Surveillance Program - 1_Q Fever Form Modified Available
Form none assigned National Disease Surveillance Program - 1_Plaque Case Investigation Report Form Modified Available
Form none assigned National Disease Surveillance Program - 1_Malaria Case Surveillance Report Form Modified Available
Form none assigned National Disease Surveillance Program - 1_Lyme Disease Report Form Modified Available
Form none assinged National Disease Surveillance Program - 1_Legionellosis Case Report Form Modified Available
Form none assigned National Disease Surveillance Program - 1_Kawasaki Syndrome Form Modified Repair queued
Form none assigned National Disease Surveillance Program - 1_Hantavirus Pulmonary Syndrome Form Modified Available
Form none assigned National Disease Surveillance Program - 1_Dengue Case Investigation Form Modified Available
Form none assigned National Disease Surveillance Program - 1_Cyclosporiasis Form Modified Available
Form none assigned National Disease Surveillance Program - 1_CJD Form Modified Available
Form none assigned National Disease Surveillance Program - 1_ABC's Invasive MRSA Change Request Form Modified Available
Form none assigned National Disease Surveillance Program - 1_ABCs Case Reports Change Request Form Modified Available
MRSA changes 2007.doc Justification for No Material/Nonsubstantive Change Uploaded 2007-07-06 Repair queued
ABCs changes 2007.doc Justification for No Material/Nonsubstantive Change Uploaded 2007-07-06 Available
IC Document Collections
IC IDCollectionTypeStatusForm
46214 National Disease Surveillance Program - 1_Viral Hepatitis Case Record Form Modified
46213 National Disease Surveillance Program - 1_Typhoid Fever Surveillance Report Form Modified
46212 National Disease Surveillance Program - 1_Tularemia Form Modified
46211 National Disease Surveillance Program - 1_Trichinosis Surveillance Case Report Form Modified
46210 National Disease Surveillance Program - 1_Tick-borne Rickettsial Disease Case Report Form Modified
46209 National Disease Surveillance Program - 1_Reye Syndrome Case Surveillance Report Form Modified
46208 National Disease Surveillance Program - 1_Q Fever Form Modified
46207 National Disease Surveillance Program - 1_Plaque Case Investigation Report Form Modified
46206 National Disease Surveillance Program - 1_Malaria Case Surveillance Report Form Modified
46205 National Disease Surveillance Program - 1_Lyme Disease Report Form Modified
46204 National Disease Surveillance Program - 1_Legionellosis Case Report Form Modified
46203 National Disease Surveillance Program - 1_Kawasaki Syndrome Form Modified
46202 National Disease Surveillance Program - 1_Hantavirus Pulmonary Syndrome Form Modified
46201 National Disease Surveillance Program - 1_Dengue Case Investigation Form Modified
46200 National Disease Surveillance Program - 1_Cyclosporiasis Form Modified
46199 National Disease Surveillance Program - 1_CJD Form Modified
46198 National Disease Surveillance Program - 1_ABC's Invasive MRSA Change Request Form Modified
37710 National Disease Surveillance Program - 1_ABCs Case Reports Change Request Form Modified
ICR Details
0920-0009 200707-0920-005
Historical Active 200611-0920-008
HHS/CDC
National Disease Surveillance Program - 1. Case Reports
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/03/2007
Retrieve Notice of Action (NOA) 07/25/2007
  Inventory as of this Action Requested Previously Approved
03/31/2010 03/31/2010 03/31/2010
56,666 0 56,666
13,368 0 13,368
0 0 0

Formal surveillance of 18 separate reportable diseases has been ongoing to meet public demand and scientific interest in accurate, consistent, epidemiological data. This is a renewal with change of a previously approved data collection. We have added two new forms, Tularemia, and Invasive Methicillin Resistant Staphylococcus Aureus (MRSA). The CDC, working with state Health Departments, propose, coordinate, and evaluate nationwide surveillance systems. State epidemiologists are responsible for the collection, interpretations, and transmission of medical/epidemiological information to CDC. The purpose for reporting communicable diseases is to determine the prevalence of diseases dangerous to public health, provide the basis for planning and evaluating effective programs for prevention and control of infectious diseases, and study present and emerging disease problems. CDC coordination of nationwide reporting maintains uniformity so that comparisons can be made from state to state and year to year.

US Code: 42 USC 306 Name of Law: National Center for Health Statistics
   US Code: 42 USC 301 Name of Law: General Powers and Duties of Public Health Service
  
None

Not associated with rulemaking

  70 FR 73006 12/08/2005
71 FR 66533 11/15/2006
No

18
IC Title Form No. Form Name
National Disease Surveillance Program - 1_Lyme Disease Report none assigned Lyme Disease
National Disease Surveillance Program - 1_Malaria Case Surveillance Report none assigned Malaria
National Disease Surveillance Program - 1_Plaque Case Investigation Report none assigned Plague
National Disease Surveillance Program - 1_Q Fever none assigned Q Fever
National Disease Surveillance Program - 1_Dengue Case Investigation none assigned, none assigned Dengue-Spanish ,   Dengue
National Disease Surveillance Program - 1_Hantavirus Pulmonary Syndrome none assigned Hantavirus
National Disease Surveillance Program - 1_Kawasaki Syndrome none assigned Kawasaki
National Disease Surveillance Program - 1_Legionellosis Case Report none assinged Legionellosis
National Disease Surveillance Program - 1_Tularemia none assigned Tularemia
National Disease Surveillance Program - 1_Typhoid Fever Surveillance Report none assigned Typhoid Fever
National Disease Surveillance Program - 1_Viral Hepatitis Case Record none assigned Viral Hepatitis
National Disease Surveillance Program - 1_Reye Syndrome Case Surveillance Report none assigned Reye Syndrome
National Disease Surveillance Program - 1_Tick-borne Rickettsial Disease Case Report none assigned Tick-Borne
National Disease Surveillance Program - 1_Trichinosis Surveillance Case Report none assigned Trichinosis
National Disease Surveillance Program - 1_ABCs Case Reports Change Request none assigned ABC
National Disease Surveillance Program - 1_ABC's Invasive MRSA Change Request none assigned MRSA
National Disease Surveillance Program - 1_CJD none assigned CJD
National Disease Surveillance Program - 1_Cyclosporiasis none assigned Cyclosporiasis

  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 56,666 56,666 0 0 0 0
Annual Time Burden (Hours) 13,368 13,368 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$80,000
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.
07/23/2007