Information Collection Request

National Disease Surveillance Program

ICR 201401-0920-007 · OMB 0920-0009 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form none assigned Tularemia Form Removed Repair queued
Form none assigned Trichinosis Surveillance Case Report Form Removed Available
Form none assigned Tick-borne Rickettsial Disease Case Report Form Removed Available
Form none assigned Reye Syndrome Case Surveillance Report Form Modified Available
Form none assigned Q Fever Form Removed Repair queued
Form none assigned Plaque Case Investigation Report Form Removed Available
Form CDC 54.1 Malaria Case Surveillance Report Form Removed Available
Form none assigned Lyme Disease Report Form Removed Available
Form CDC 52.56 Legionellosis Case Report Form Removed Available
Form none assigned Kawasaki Syndrome Form Modified Repair queued
Form none assigned Hantavirus Pulmonary Syndrome Form Removed Available
Form none assigned Dengue Case Investigation Form Removed Available
Form none assigned Cyclosporiasis Form Removed Repair queued
Form none assigned CJD Form Modified Available
Form No number Viral Hepatitis Case Record Form Removed Repair queued
Form No number Typhoid Fever Surveillance Report Form Removed Repair queued
Leptospirosis Case Report Form Removed Repair queued
0009 change request 2014.docx Justification for No Material/Nonsubstantive Change Uploaded 2014-01-24 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 Available
IC Document Collections
IC IDCollectionTypeStatusForm
46212 Tularemia Form Removed
46211 Trichinosis Surveillance Case Report Form Removed
46210 Tick-borne Rickettsial Disease Case Report Form Removed
46209 Reye Syndrome Case Surveillance Report Form Modified
46208 Q Fever Form Removed
46207 Plaque Case Investigation Report Form Removed
46206 Malaria Case Surveillance Report Form Removed
46205 Lyme Disease Report Form Removed
46204 Legionellosis Case Report Form Removed
46203 Kawasaki Syndrome Form Modified
46202 Hantavirus Pulmonary Syndrome Form Removed
46201 Dengue Case Investigation Form Removed
46200 Cyclosporiasis Form Removed
46199 CJD Form Modified
46198 Viral Hepatitis Case Record Form Removed
37710 Typhoid Fever Surveillance Report Form Removed
207080 Leptospirosis Case Report Form Removed
ICR Details
0920-0009 201401-0920-007
Historical Active 201311-0920-001
HHS/CDC 21349
National Disease Surveillance Program
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/30/2014
Retrieve Notice of Action (NOA) 01/28/2014
  Inventory as of this Action Requested Previously Approved
04/30/2016 04/30/2016 04/30/2016
530 0 45,259
140 0 11,476
0 0 0

CDC requests streamlining the way the Legionellosis Case Report is received by having states that are interested extract data from their electronic system to send to CDC via secure FTP in a file format like Excel or Access. States will enter the information into their state electronic system, fill out a hard copy for CDC, then CDC will enter the inforamtion into the electronic system.

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

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 530 45,259 0 -44,399 -330 0
Annual Time Burden (Hours) 140 11,476 0 -11,226 -110 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Cutting Redundancy
This change request is being submitted per NOA Terms of Clearance: 0920-0728 Burden estimates for this OMB control number has been adjusted via non-substantive change, as previously approved diseases are now covered under another OMB Control number. Decrease of 11,307 burden hours and decrease in costs of $378,672.00

$80,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Catina Conner 4046394775

  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.
01/28/2014