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Federal forms, ICRs, and supporting documents

Information Collection Request

CDC Emergency Operations Center: Zika Related Clinical Inquiries

ICR 201608-0920-003 · OMB 0920-1159 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Zika Clinical Inquiries Data - Clinicians and Other Providers Form and Instruction New Repair queued
Zika Clinical Inquiries Database - State/Local Health Department Form and Instruction New Repair queued
SSB-EOC Clinical Inquiries Database 072116.docx Supporting Statement B Uploaded 2017-01-27 Available
SSA-EOC Clinical Inquiries Databasev 27JAN2017.docx Supporting Statement A Uploaded 2017-01-27 Available
Att. D - IRB Approval - EOC Call Center.pdf Supplementary Document Uploaded 2016-08-03 Available
Att. E - Public Comments.pdf Supplementary Document Uploaded 2016-08-03 Available
Att. A - Authorizing Legislation.pdf Supplementary Document Uploaded 2016-08-03 Available
60-Day-CDC-2016-0040-0001.pdf Supplementary Document Uploaded 2016-08-03 Available
IC Document Collections
IC IDCollectionTypeStatusForm
222839 Zika Clinical Inquiries Data - Clinicians and Other Providers Form and Instruction New
222837 Zika Clinical Inquiries Database - State/Local Health Department Form and Instruction New
ICR Details
0920-1159 201608-0920-003
Historical Active
HHS/CDC 16AFR
CDC Emergency Operations Center: Zika Related Clinical Inquiries
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 01/30/2017
Retrieve Notice of Action (NOA) 08/22/2016
Approved consistent with the understanding that information is reported voluntarily to the EOC by inquiring members of the general public and clinicians, and not all zika cases that occur domestically may result in a call to the EOC. As a result--this collection is not intended to result in generalizable conclusions or to directly inform health policy.
  Inventory as of this Action Requested Previously Approved
01/31/2020 36 Months From Approved
1,220 0 0
305 0 0
0 0 0
The goal of this information collection is to document and track clinical inquiries made to the CDC EOC call center related to Zika virus illness, as well as to systematically collect standardized clinical/demographic/epidemiologic information about suspected cases of Zika virus illness, so that clinical inquiries can inform future policy.
US Code: 42 USC 247 Name of Law: U.S. PHSA
  
None
Not associated with rulemaking
  81 FR 26231 05/02/2016
81 FR 52694 08/09/2016
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 1,220 0 0 1,220 0 0
Annual Time Burden (Hours) 305 0 0 305 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
0920-16AFR is a New ICR submitted to continue collection of information under a previously approved Emergency Clearance.
$108,700
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.
08/22/2016