Information Collection Request

National Disease Surveillance Program

ICR 201003-0920-010 · OMB 0920-0009 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form none assigned National Disease Surveillance Program - 1_Viral Hepatitis Case Record Form Removed Available
Form none assigned National Disease Surveillance Program - 1_Typhoid Fever Surveillance Report Form Removed Available
Form none assigned Tularemia Form Modified Available
Form none assigned Trichinosis Surveillance Case Report Form Modified Repair queued
Form none assigned Tick-borne Rickettsial Disease Case Report Form Modified Available
Form none assigned Reye Syndrome Case Surveillance Report Form Modified Repair queued
Form none assigned Q Fever Form Modified Repair queued
Form none assigned Plaque Case Investigation Report Form Modified Repair queued
Form CDC 54.1 Malaria Case Surveillance Report Form Modified Available
Form none assigned Lyme Disease Report Form Modified Available
Form none assinged Legionellosis Case Report Form Modified Repair queued
Form none assigned Kawasaki Syndrome Form Modified Repair queued
Form none assigned Hantavirus Pulmonary Syndrome Form Modified Repair queued
Form none assigned Dengue Case Investigation Form Modified Repair queued
Form none assigned Cyclosporiasis Form Modified Repair queued
Form none assigned CJD Form Modified Available
Form No number Viral Hepatitis Case Record Form Modified Repair queued
Form No number Typhoid Fever Surveillance Report Form Modified Available
Public Health Service Act Sec 301 and 306.docx Supplementary Document Uploaded 2010-03-02 Available
Attachment C Surveillance Summaries.docx Supplementary Document Uploaded 2010-02-25 Repair queued
Published 60day FRN.pdf Supplementary Document Uploaded 2010-02-25 Repair queued
CDCMalaria54 1_changesAppenA2009.xls Supplementary Document Uploaded 2010-02-25 Available
Currentmalaria_form.pdf Supplementary Document Uploaded 2010-02-25 Repair queued
DCIF_English_Color_proposed_jun2009.ppt Supplementary Document Uploaded 2009-06-08 Repair queued
Supporting_Statement_0920-0009_Feb23 2010.docx Supporting Statement A Uploaded 2010-02-25 Available
IC Document Collections
IC IDCollectionTypeStatusForm
46214 National Disease Surveillance Program - 1_Viral Hepatitis Case Record Form Removed
46213 National Disease Surveillance Program - 1_Typhoid Fever Surveillance Report Form Removed
46212 Tularemia Form Modified
46211 Trichinosis Surveillance Case Report Form Modified
46210 Tick-borne Rickettsial Disease Case Report Form Modified
46209 Reye Syndrome Case Surveillance Report Form Modified
46208 Q Fever Form Modified
46207 Plaque Case Investigation Report Form Modified
46206 Malaria Case Surveillance Report Form Modified
46205 Lyme Disease Report Form Modified
46204 Legionellosis Case Report Form Modified
46203 Kawasaki Syndrome Form Modified
46202 Hantavirus Pulmonary Syndrome Form Modified
46201 Dengue Case Investigation Form Modified
46200 Cyclosporiasis Form Modified
46199 CJD Form Modified
46198 Viral Hepatitis Case Record Form Modified
37710 Typhoid Fever Surveillance Report Form Modified
ICR Details
0920-0009 201003-0920-010
Historical Active 200906-0920-018
HHS/CDC
National Disease Surveillance Program
Revision of a currently approved collection   No
Regular
Approved without change 04/30/2010
Retrieve Notice of Action (NOA) 03/23/2010
  Inventory as of this Action Requested Previously Approved
04/30/2013 36 Months From Approved 04/30/2010
45,145 0 56,666
11,447 0 13,368
0 0 0

The National Disease Surveillance Program 1. Case Reports is an ongoing surveillance activity of the Centers for Disease Control and Prevention (CDC). This request is for revisions which remove two Active Bacterial Surveillance forms and request minor changes to the Malaria Case Surveillance Report form.

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

Not associated with rulemaking

  74 FR 66975 12/17/2009
75 FR 9902 03/04/2010
Yes

  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 45,145 56,666 0 -11,521 0 0
Annual Time Burden (Hours) 11,447 13,368 0 -1,921 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The decrease in burden hours is due to removal of the ABCs forms and rounding of responses previously submitted with decimals.

$80,000
No
No
Uncollected
Uncollected
No
Uncollected
Maryam Daneshvar 4046394604

  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.
03/23/2010