OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Information Collection on Cause-Specific Absenteeism in Schools

ICR 201512-0920-009 · OMB 0920-1039 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Acute Respiratory Infection and Influenza Surveillance Form Form Modified Available
Non-Substantive Change 0920-1039 ARI and Influenze Survillance Form.docx Justification for No Material/Nonsubstantive Change Uploaded 2015-12-28 Available
SupStaA_12102014 WI School Absenteeism.docx Supplementary Document Uploaded 2014-12-15 Available
SupStaB_12102014 WI School Absenteeism.docx Supplementary Document Uploaded 2014-12-15 Available
SupStaA_12102014 WI School Absenteeism.docx Supporting Statement A Uploaded 2014-12-15 Available
Att C3- Univ of Wisconsin - consent_assent forms.docx Supplementary Document Uploaded 2014-07-24 Available
Att D FRN comment.docx Supplementary Document Uploaded 2014-07-24 Repair queued
Att C7- Univ of Wisconsin - CDC IRB deferral notice.docx Supplementary Document Uploaded 2014-07-21 Available
Att C6- Univ of Wisconsin - IRB approval letter.pdf Supplementary Document Uploaded 2014-07-21 Repair queued
Att B- 60d FRN.pdf Supplementary Document Uploaded 2014-07-21 Available
Att A3- Sec 301 PHSA (42 USC 241).pdf Supplementary Document Uploaded 2014-07-21 Available
Att A2- CFR part 70.pdf Supplementary Document Uploaded 2014-07-21 Available
Att A1- Sec 361 PHSA (42 USC 264).pdf Supplementary Document Uploaded 2014-07-21 Available
SupStaB_12102014 WI School Absenteeism.docx Supporting Statement B Uploaded 2014-12-15 Available
IC Document Collections
IC IDCollectionTypeStatusForm
212417 Acute Respiratory Infection and Influenza Surveillance Form Form Modified
212402 ORCHARDS Phone Screening Other-WORD Unchanged
ICR Details
0920-1039 201512-0920-009
Historical Active 201407-0920-005
HHS/CDC 16HT
Information Collection on Cause-Specific Absenteeism in Schools
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/21/2016
Retrieve Notice of Action (NOA) 01/19/2016
  Inventory as of this Action Requested Previously Approved
12/31/2017 12/31/2017 12/31/2017
12,000 0 12,000
3,500 0 3,500
0 0 0
The Centers for Disease Control and Prevention (CDC), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Global Migration and Quarantine (DGMQ), requests approval of a new information collection on Cause-Specific Absenteeism in Schools. This information collection aims to improve our understanding of the role of cause-specific absenteeism in schools in predicting community-wide influenza transmission, and will be used to strengthen the evidence-base of CDC's Pre-Pandemic Guidance prior to next pandemic. This request is to add four questions to the currently approved Acute Respiratory Infection and Influenza Surveillance Form. No significant change in Burden is expected.
US Code: 42 USC 241 Name of Law: Research and Investigations Generally
   US Code: 42 USC SubChapter F Name of Law: Quarantine, Inspection, Licensing
   US Code: 42 USC 264 Name of Law: Regulations to Control Communicable Diseases
  
None
Not associated with rulemaking
  79 FR 27617 05/14/2014
79 FR 42327 07/21/2014
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 12,000 12,000 0 0 0 0
Annual Time Burden (Hours) 3,500 3,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$536,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [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.
01/19/2016