Information Collection Request

Poison Center Collaborations for Public Health Emergencies

ICR 202002-0920-001 · OMB 0920-1166 · Active

Forms and Documents
DocumentTypeStatusAvailability
1 - SSB PCCPHE Extension 20200108.docx Supporting Statement B Uploaded 2020-02-18 Available
1 - SSA PCCPHE Extension 20200108.docx Supporting Statement A Uploaded 2020-02-18 Available
Att15 Privacy Impact Assessment PCCPHE 20200108.pdf Supplementary Document Uploaded 2020-02-18 Available
Att14 Example Dataset for Questionnaire.xlsx Supplementary Document Uploaded 2020-02-18 Available
Att13 NCEH Research and PRA Determination PCCPHE 20200108.pdf Supplementary Document Uploaded 2020-02-18 Available
Att12 Burden Memo PCCPHE 20200108.docx Supplementary Document Uploaded 2020-02-18 Available
Att11 Sample Questionnaire Parent 20200108.docx Supplementary Document Uploaded 2020-02-18 Available
Att10 Sample Questionnaire Adolescent 20200108.docx Supplementary Document Uploaded 2020-02-18 Available
Att9 Sample Questionnaire Adult 20200108.docx Supplementary Document Uploaded 2020-02-18 Available
Att8 Sample Consent and Assent Forms.docx Supplementary Document Uploaded 2020-02-18 Available
Att7 GenIC Rqst Apprvl Form PCCPHE 20200108.docx Supplementary Document Uploaded 2020-02-18 Available
Att6 Advanced Notification Email for OMB.docx Supplementary Document Uploaded 2020-02-18 Available
Att5 Step-by-Step How to Use the Generic Clearance.docx Supplementary Document Uploaded 2020-02-18 Available
Att4 CDC-AAPCCDataLicAgremt__2016_signed.pdf Supplementary Document Uploaded 2020-02-18 Available
Att3 Map of United States Poison Centers.pdf Supplementary Document Uploaded 2020-02-18 Available
Att2 60 day Federal Register Notice.pdf Supplementary Document Uploaded 2020-02-18 Available
Att1 Authorizing Legislation.pdf Supplementary Document Uploaded 2020-02-18 Available
0920-1166 Change Request Justification FY2020 Q1.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-01-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
ICR Details
0920-1166 202002-0920-001
Active 202001-0920-012
HHS/CDC 0920-1166
Poison Center Collaborations for Public Health Emergencies
Extension without change of a currently approved collection   No
Regular
Approved without change 04/30/2020
Retrieve Notice of Action (NOA) 02/19/2020
Previous terms continue: Approved consistent with the understanding that GenICs under this generic will be limited to follow-up activities in response to acute public health emergencies that may be causing adverse health outcomes. Data collection for investigations conducted under this generic will not exceed 60 days. Investigations conducted for the primary purpose of program evaluation, surveillance, needs assessment, or research (e.g., to contribute to generalizable knowledge) are excluded from this generic pathway. All GenICs submitted under this generic will include all information collection instruments and an abbreviated Supporting Statement Part A.
  Inventory as of this Action Requested Previously Approved
04/30/2023 36 Months From Approved 04/30/2020
900 0 900
600 0 600
13,924 0 12,696

The goal of this generic collection is to create a timely mechanism to allow poison centers, supported by CDC, to obtain critical exposure and health information during a public health emergency. For selected events, poison center staff with CDC collaboration will conduct a call-back questionnaire to include questions not asked during initial poison center calls but are important for public health response to reduce mortality and morbidity. This request for Extension is submitted to allow CDC to continue to collect critical exposure and health information during a public health emergency through the Generic mechanism..

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

Not associated with rulemaking

  84 FR 44309 08/23/2019
85 FR 5665 01/31/2020
No

0

  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 900 900 0 0 0 0
Annual Time Burden (Hours) 600 600 0 0 0 0
Annual Cost Burden (Dollars) 13,924 12,696 0 1,228 0 0
No
No

$123,934
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.
02/19/2020