Information Collection Request

Emergency Epidemic Investigation Data Collections- -Expedited Review (Y3Q4)

ICR 202201-0920-010 · OMB 0920-1011 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1011 Undetermined risk factor for highly pathogenic avian influenza H5N1 among individuals exposed to infected birds – United States, 2022 Form and Instruction New Repair queued
0920-1011 Non-Substantive Change Request Memo_Oct-Dec 2021.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-01-13 Repair queued
0920-1011 Non-Substantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-10-20 Repair queued
0920-1011 Non-Substantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-08-31 Repair queued
Change Request 01JAN-31MAR2021.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-04-28 Repair queued
Appendix 1 Burden Memos.pdf Supplementary Document Uploaded 2021-01-21 Repair queued
Appendix 2 Data Collection Forms.pdf Supplementary Document Uploaded 2021-01-21 Repair queued
0920-1011 Non-Substantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-01-21 Repair queued
Appendix 2. Data Collection Forms.pdf Supplementary Document Uploaded 2020-12-11 Repair queued
Appendix 1. Burden Memos.pdf Supplementary Document Uploaded 2020-12-11 Repair queued
0920-1011 Non-Substantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-12-11 Repair queued
Change Request.Increase Respondents. 11.5.2020 (003).docx Justification for No Material/Nonsubstantive Change Uploaded 2020-12-04 Missing upstream
Change Request 8.24.2020.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-09-01 Missing upstream
Appendix 2. Data Collection Forms.pdf Supplementary Document Uploaded 2020-04-15 Missing upstream
Appendix 1. Burden Memos.pdf Supplementary Document Uploaded 2020-04-07 Repair queued
0920-1011 Non-Substantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-04-07 Repair queued
Appendix 1. Burden Memos.pdf Supplementary Document Uploaded 2020-02-12 Repair queued
0920-1011 Non-Substantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-02-12 Missing upstream
EEI_GenICR_SupSta A_FINAL.docx Supporting Statement A Uploaded 2020-01-15 Repair queued
EEI GenICR_Sup St B.docx Supporting Statement B Uploaded 2020-01-15 Repair queued
EEI GenICR 0920-13ZJ_App 6_Online Survey Case Finding Questionnaire_11-06-2013.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR 0920-13ZJ_App 5_Phone Interview Questionnaire Patient_11-06-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR 0920-13ZJ_App 4_Q Fever Person Interview Questionnaire_11-14-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR 0920-13ZJ_App 3 _Hantav Pulm Synd Questionnaire_11-14-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR 0920-13ZJ_App 2_GBS Case Questionnaire_11-14-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR 0920-13ZJ_App 1_Chart Abstract Form_11-14-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR 0920-13ZJ_Attach H_Biospecimen Storage Consent_11-06-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Repair queued
Attach G _Emer Epi Invest_IRB Letter.pdf Supplementary Document Uploaded 2019-11-20 Repair queued
EEI Gen ICR 0920-13ZJ_Attach F_Epi Invest SORN_11-06-2013.doc Supplementary Document Uploaded 2013-11-20 Repair queued
Attach E _Burden Memo.docx Supplementary Document Uploaded 2016-10-13 Repair queued
Attach D_Request for Approval.docx Supplementary Document Uploaded 2019-11-20 Repair queued
Attach C_ Steps Conduct Emer Epi Invest.docx Supplementary Document Uploaded 2016-10-13 Repair queued
60dy191011 Published_2019-19019.pdf Supplementary Document Uploaded 2020-01-15 Repair queued
EEI GenICR_0920-13ZJ_Attach A_Auth Legis Emer Epi Invest_11-06-2013_Subm.pdf Supplementary Document Uploaded 2013-11-20 Missing upstream
ICR Details
0920-1011 202201-0920-010
Received in OIRA 202110-0920-009
HHS/CDC 0920-1011-22BV
Emergency Epidemic Investigation Data Collections- -Expedited Review (Y3Q4)
No material or nonsubstantive change to a currently approved collection   No
Regular 01/13/2022
  Requested Previously Approved
01/31/2023 01/31/2023
805,759 805,759
402,874 402,874
0 0

This non-substantive change request is submitted to comply with the stated procedures in the approved EEI Generic ICR package (as specified in point 5 under Special Circumstances Relating to the Guidelines of 5 CFR 1320.5), “CDC maintains a library of data collection instruments that includes all final data collection instruments conducted under this generic ICR. This library and the updated burden numbers based on data collected via the “Burden Memo” are submitted to OMB quarterly as a non-substantive change to the generic ICR.” In this quarter there were no EEIs to report, so this non-substantive change request has zero burden to report from July 1, 2021 to September 30, 2021.

US Code: 42 USC 301 Name of Law: PHSA
  
None

Not associated with rulemaking

  84 FR 46535 09/04/2019
84 FR 66908 12/06/2019
No

0

  Total Request 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 805,759 805,759 0 0 0 0
Annual Time Burden (Hours) 402,874 402,874 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This non-substantive change request includes reporting for data collection completed from July 1, 2020 to September 30, 2020. The actual burden for the one investigation completed during this quarter was 1,414 respondents and 1,081 burden hours.

$1,586,352
Yes Part B of Supporting Statement
    No
    No
No
No
No
Yes
Thelma Sims 4046394771

  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.
01/13/2022