OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Enhanced surveillance for cases linked to a multistate outbreak of multidrug-resistant Campylobacter infections linked to contact with pet store puppies

ICR 201904-0920-006 · OMB 0920-1261 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-XXXX DOG EXPOSURE QUESTIONNAIRE - State and Local Health Department Staff Form and Instruction New Available
Form 0920-XXXX DOG EXPOSURE QUESTIONNAIRE - General Public Form and Instruction New Repair queued
Authorizing Legislation.pdf Supplementary Document Uploaded 2019-04-18 Repair queued
4. Non-research determination.pdf Supplementary Document Uploaded 2019-04-18 Available
5. Canine Exposure Supplemental Questionnaire.pdf Supplementary Document Uploaded 2019-04-18 Repair queued
Emergency Review Request Memo - signed.pdf Supplementary Document Uploaded 2019-04-18 Available
SUPP~0GR.DOC Supporting Statement B Uploaded 2019-04-18 Available
SUPP~IPY.DOC Supporting Statement A Uploaded 2019-04-18 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
235774 DOG EXPOSURE QUESTIONNAIRE - State and Local Health Department Staff Form and Instruction New
235768 DOG EXPOSURE QUESTIONNAIRE - General Public Form and Instruction New
ICR Details
0920-1261 201904-0920-006
Historical Active
HHS/CDC 0920-19APK
Enhanced surveillance for cases linked to a multistate outbreak of multidrug-resistant Campylobacter infections linked to contact with pet store puppies
New collection (Request for a new OMB Control Number)   No
Emergency 04/22/2019
Approved without change 04/18/2019
Retrieve Notice of Action (NOA) 04/18/2019
OMB is approving this information collection request for a period of 6 months during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.
  Inventory as of this Action Requested Previously Approved
10/31/2019 6 Months From Approved
100 0 0
38 0 0
0 0 0
During 2016 – 2018 CDC, several states, and the U.S. Department of Agriculture’s Animal and Plant Health Inspection Service investigated a multistate outbreak of multidrug-resistant Campylobacter infections. Epidemic and laboratory evidence indicated that contact with puppies sold through Petland stores was the major source of this outbreak. A total of 113 people with laboratory-confirmed infections or symptoms consistent with Campylobacter infection were linked to this outbreak. Illnesses were reported from 17 states. CDC proposes an enhanced surveillance project, screening available Campylobacter isolates for the unique multidrug resistance pattern using predictive resistance software. Epidemiologic information would then be collected from newly identified cases to determine if cases were associated with the outbreak.
During 2016–2018 CDC, several states, and the U.S. Department of Agriculture’s Animal and Plant Health Inspection Service investigated a multistate outbreak of multidrug-resistant Campylobacter infections. Epidemic and laboratory evidence indicated that contact with puppies sold through Petland stores was the major source of this outbreak. Due to the high numbers of the general public exposed to dogs potentially shedding the multidrug-resistant outbreak strain, development of interventions and disease prevention programs is critical to fully understand the scope of the outbreak associated cases. Given, the extremely multidrug-resistant nature of the outbreak strain and the potentially large number of people exposed to dogs shedding the outbreak strain, CDC requests an emergency clearance.
US Code: 42 USC 241 Name of Law: U.S. PHSA
  
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 100 0 0 100 0 0
Annual Time Burden (Hours) 38 0 0 38 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Submission of 0920-19APK - Enhanced surveillance for cases linked to a multistate outbreak of multidrug-resistant Campylobacter infections linked to contact with pet store puppies is a New Emergency Clearance Request
$26,329
Yes Part B of Supporting Statement
    No
    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.
04/18/2019