OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Monitoring and Coordinating Personal Protective Equipment (PPE) in Healthcare to Enhance Domestic Preparedness for Ebola Response

ICR 201605-0920-003 · OMB 0920-1131 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Crisis Survey Form and Instruction New Repair queued
Emergency Survey Form and Instruction New Repair queued
Quarterly Survey Form and Instruction New Repair queued
Annual Survey Form and Instruction New Repair queued
Baseline Survey Form and Instruction New Repair queued
SSB_PPE 02JUN2016.docx Supporting Statement B Uploaded 2016-06-13 Repair queued
SSA_PPE 02JUN2016.docx Supporting Statement A Uploaded 2016-06-13 Available
ATT D HSRB.docx Supplementary Document Uploaded 2016-06-08 Available
Att F Analysis Plan.docx Supplementary Document Uploaded 2016-05-06 Available
Att C Hospital Consent.pdf Supplementary Document Uploaded 2016-05-06 Available
Att B 60 day.pdf Supplementary Document Uploaded 2016-05-06 Available
Att A Authorizing Leg.docx Supplementary Document Uploaded 2016-05-06 Available
IC Document Collections
IC IDCollectionTypeStatusForm
221901 Crisis Survey Form and Instruction New
221845 Emergency Survey Form and Instruction New
221844 Quarterly Survey Form and Instruction New
221843 Annual Survey Form and Instruction New
221842 Baseline Survey Form and Instruction New
ICR Details
0920-1131 201605-0920-003
Historical Active
HHS/CDC 16KA
Monitoring and Coordinating Personal Protective Equipment (PPE) in Healthcare to Enhance Domestic Preparedness for Ebola Response
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/05/2016
Retrieve Notice of Action (NOA) 06/14/2016
  Inventory as of this Action Requested Previously Approved
08/31/2019 36 Months From Approved
137 0 0
230 0 0
0 0 0
The request for a New ICR is to garner a better understanding of the particular PPE needs of healthcare workers to ensure the health and safety of this workforce during emergencies, and an urgent need to monitor and assess PPE needs for the Ebola response. Infection control is a key strategy in stopping the spread of Ebola as well as identifying and managing patients with the Ebola virus. The study intends to answer the following: (1) “What is the best way to optimize the PPE supply chain in real time?” and (2) “How can predictive modeling assist in resource allocation?” Additionally, the information to be collected will aid in improving the health and safety of healthcare workers by assessing PPE training and supply management.
US Code: 29 USC 671 Name of Law: National Institute for Occupational Safety and Health
  
None
Not associated with rulemaking
  81 FR 3421 01/21/2016
81 FR 36920 06/08/2016
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 137 0 0 137 0 0
Annual Time Burden (Hours) 230 0 0 230 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Submission of 0920-16KA is a New ICR.
$75,351
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.
06/14/2016