National Disease Surveillance Program

OMB Control No: 0920-0009	ICR Reference No: 201305-0920-010
Status: Historical Active	Previous ICR Reference No: 201303-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 19662
Title: National Disease Surveillance Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/30/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/28/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2016	04/30/2016	04/30/2016
Responses	45,259	0	45,145
Time Burden (Hours)	11,476	0	11,447
Cost Burden (Dollars)	0	0	0

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Abstract: CDC requests the addition of the leptospirosis case report form as CSTE approved the reinstatement of leptospirosis as a notifiable condition.

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Authorizing Statute(s): 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

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 17

IC Title Form No. Form Name Typhoid Fever Surveillance Report No number Typhoid Fever Surveillance Viral Hepatitis Case Record No number Hepatitis Case Record CJD none assigned CJD Cyclosporiasis none assigned Cyclosporiasis Dengue Case Investigation none assigned, none assigned Dengue ,   Dengue-Spanish Hantavirus Pulmonary Syndrome none assigned Hantavirus Kawasaki Syndrome none assigned Kawasaki Legionellosis Case Report CDC 52.56 Legionellosis Case Report Lyme Disease Report none assigned Lyme Disease Malaria Case Surveillance Report CDC 54.1 Malaria Case Surveillance Report Plaque Case Investigation Report none assigned Plague Q Fever none assigned Q Fever Reye Syndrome Case Surveillance Report none assigned Reye Syndrome Trichinosis Surveillance Case Report none assigned Trichinosis Tularemia none assigned Tularemia Tick-borne Rickettsial Disease Case Report none assigned Tick-Borne Leptospirosis Case Report none Leptospirosis Case Report

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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	45,259	45,145	0	114	0	0
Annual Time Burden (Hours)	11,476	11,447	0	29	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The reinstatement addition of leptospirosis as a notifiable condition as recommended by CSTE adds 29 burden hours to this collection.

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Annual Cost to Federal Government: $80,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

Agency Contact: Shari Steinberg 404 639-4942 [email protected]

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Common Form ICR:  No

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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: 05/28/2013

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