Information Collection Request

Emerging Infections Program

ICR 201502-0920-009 · OMB 0920-0978 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
ABCs Non Bacteremic Pneumococcal Disease Form New Available
FluSurv-Net Project Consent Form Form Modified Available
Influenza Hospitalization Surveillance Project Vaccination Telephone Survey Form Modified Available
FluSurv-NET Influenza Hospitalization Surveilance Project Case Report Form Form Modified Available
Legionellosis ABCs Case Report Form Unchanged Available
ABCs Neonatal Infection Expanded Tracking Form Form Unchanged Available
ABCs Invasive Pneumococcal Disease in Children Form Modified Repair queued
Invasive Methicillin - Resistant - Staphylococcus aureus ABCs Case Report Form Form Unchanged Repair queued
ABCs Case Report Form Form Modified Available
EIP 2015 Change Request_justification_revised 2-17-15.docx Justification for No Material/Nonsubstantive Change Uploaded 2015-02-17 Repair queued
Attachment 04_FoodNet Variable List_2014_12312013.pdf Supplementary Document Uploaded 2015-02-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
215016 ABCs Non Bacteremic Pneumococcal Disease Form New
207663 Yersinia Other-WORD Unchanged
207662 Vibrio Other-WORD Unchanged
207661 Shigella Other-WORD Unchanged
207660 Shiga toxin producing E. coli Other-WORD Unchanged
207659 Salmonella Other-WORD Unchanged
207658 Listeria monocytogenes Other-WORD Unchanged
207657 Cyclospora Other-WORD Unchanged
207656 Cryptosporidium Other-WORD Unchanged
207655 Campylobacter Other-WORD Unchanged
207654 FluSurv-Net Project Consent Form Form Modified
207653 Influenza Hospitalization Surveillance Project Vaccination Telephone Survey Form Modified
207652 Hemolytic Uremic Syndrome (HUS) Other-WORD Unchanged
207651 FluSurv-NET Influenza Hospitalization Surveilance Project Case Report Form Form Modified
207650 Legionellosis ABCs Case Report Form Unchanged
207649 ABCs Neonatal Infection Expanded Tracking Form Form Unchanged
207648 ABCs Invasive Pneumococcal Disease in Children Form Modified
207647 Invasive Methicillin - Resistant - Staphylococcus aureus ABCs Case Report Form Form Unchanged
207646 ABCs Case Report Form Form Modified
ICR Details
0920-0978 201502-0920-009
Historical Active 201402-0920-016
HHS/CDC 21493
Emerging Infections Program
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 02/24/2015
Retrieve Notice of Action (NOA) 02/17/2015
Previous terms continue: Approved consistent with the understanding that this consolidation will result in the modification and/or discontinuation of related CDC ICRs.
  Inventory as of this Action Requested Previously Approved
08/31/2016 08/31/2016 08/31/2016
42,010 0 41,200
12,455 0 12,319
0 0 0

CDC is requesting minor changes to forms and the addition of one new form for 2015 reporting of diseases reported under the Emerging Infections Program.

US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

No

  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 42,010 41,200 0 810 0 0
Annual Time Burden (Hours) 12,455 12,319 0 136 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Burden decreased in one IC due to removal of certain data elements. Burden increases due to request of approval for a new form.

$6,872,123
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Carol Marsh 404 639-4773 [email protected]

  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.
02/17/2015