Information Collection Request

National Disease Surveillance Program

ICR 201303-0920-007 · OMB 0920-0009 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form none assigned Tularemia Form Modified Available
Form none assigned Trichinosis Surveillance Case Report Form Modified Available
Form none assigned Tick-borne Rickettsial Disease Case Report Form Modified Repair queued
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 CDC 52.56 Legionellosis Case Report Form Modified Repair queued
Form none assigned Kawasaki Syndrome Form Modified Available
Form none assigned Hantavirus Pulmonary Syndrome Form Modified Repair queued
Form none assigned Dengue Case Investigation Form Modified Available
Form none assigned Cyclosporiasis Form Modified Available
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 Repair queued
SSB 0009.docx Supporting Statement B Uploaded 2013-03-11 Available
Attach C Surveillance Summaries.docx Supplementary Document Uploaded 2013-03-11 Available
CDCMalaria54 1_changesAppenA2009.xls Supplementary Document Uploaded 2010-02-25 Repair queued
Currentmalaria_form.pdf Supplementary Document Uploaded 2010-02-25 Available
DCIF_English_Color_proposed_jun2009.ppt Supplementary Document Uploaded 2009-06-08 Repair queued
SSA 0009 rev 2-28-13.docx Supporting Statement A Uploaded 2013-03-11 Available
IC Document Collections
IC IDCollectionTypeStatusForm
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 201303-0920-007
Historical Active 201003-0920-010
HHS/CDC 19125
National Disease Surveillance Program
Revision of a currently approved collection   No
Regular
Approved without change 04/23/2013
Retrieve Notice of Action (NOA) 03/14/2013
Prior to the next submission of this ICR, CDC will provide an update on the following effort described in Part A: "CDC is working to streamline efforts and reduce burden by combining all notifiable diseases into one OMB package, 0920-0728, National Notifiable Diseases Surveillance System (NNDSS). This is expected to happen in 2013-2014."
  Inventory as of this Action Requested Previously Approved
04/30/2016 36 Months From Approved 04/30/2013
45,145 0 45,145
11,447 0 11,447
0 0 0

Surveillance of the incidence and distribution of disease has been an important function of the U.S. Public Health Service since the 1800s. Data are collected on standard case report forms that are completed by the State/Local health departments.

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

  77 FR 74017 12/12/2012
78 FR 15368 03/11/2013
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 45,145 0 0 0 0
Annual Time Burden (Hours) 11,447 11,447 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$80,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Petunia Gissendaner 4046390164

  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.
03/14/2013