Information Collection Request

Emerging Infections Program

ICR 202204-0920-008 · OMB 0920-0978 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-0978 HAIC Death Ascertainment Project Form and Instruction New Missing upstream
Form 0920-0978 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey Form and Instruction New Missing upstream
Form 0920-0978 Community-Associated CP-CRE Interview Form and Instruction New Missing upstream
HAIC Candidemia Periodic Laboratory Survey Form and Instruction Modified Repair queued
Form 0920-0978 HAIC Invasive Staphylococcus aureus Annual Surveillance Officers Survey Form and Instruction Modified Repair queued
HAIC Invasive Staphylococcus aureus Annual Laboratory Survey Form and Instruction Modified Repair queued
Form 0920-0978 HAIC CDI LTCF Survey Form and Instruction Modified Repair queued
Form 0920-0978 HAIC CDI Annual Surveillance Officers Survey Form and Instruction Modified Repair queued
HAIC CDI Annual Laboratory Survey Form and Instruction Modified Missing upstream
Flu Surv NET Laboratory Survey Form Modified Repair queued
Foodnet Clinical Laboratory Practices and Testing Volume Form and Instruction Modified Missing upstream
HAIC Candidemia Case Report Form Form and Instruction Modified Repair queued
HAIC Invasive Methicillin-Sensitive Staphylococcus aureus (MSSA) Form and Instruction Modified Repair queued
Form 0920-0978 HAIC Multi-Site Gram-Negative Surveillance Initiative - Extended Spectrum Beta-Lactamase Producing Enterobacteriaceae (MuGSI-ESBL) Form Modified Repair queued
Form 0920-0978 Influenza Hospitalization Surveillance Project Provider Vaccination History Fax Form (Children/Adults) Form and Instruction Modified Repair queued
Form 0920-0978 Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (Spanish) Form and Instruction Modified Repair queued
Form 0920-0978 ABCs Severe GAS Infection Supplemental Form Form and Instruction Modified Repair queued
Form 0920-0978 ABCs H. Influenzae Neonatal Sepsis Expanded Surveillance Form Form and Instruction Modified Repair queued
Form 0920-0978 HAIC Multi-Site Gram-Negative Bacilli Case Report Form (MuGSI-CRE/CRAB) Form Modified Repair queued
HAIC CDI Case Report Form Form and Instruction Modified Repair queued
Form 0920-0978 Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (English) Form and Instruction Modified Repair queued
Form 0920-0978 FoodNet Hemolytic Uremic Syndrome (HUS) Form and Instruction Modified Repair queued
Influenza Hospitalization Surveilance Network Case Report Form Form and Instruction Modified Repair queued
ABCs Neonatal Infection Expanded Tracking Form Form and Instruction Modified Repair queued
Form 0920-0978 ABCs Invasive Pneumococcal Disease in Children Form and Instruction Modified Repair queued
HAIC Invasive Methicillin-resistant Staphylococcus aureus (MRSA) Form and Instruction Modified Missing upstream
Form 0920-0978 ABCs Case Report Form Form and Instruction Modified Repair queued
Att23- HAIC CA CP-CRE interview project manual.pdf Supplementary Document Uploaded 2022-04-25 Repair queued
EIP CDI ICMS PIA Signed 2.pdf Supplementary Document Uploaded 2022-04-25 Missing upstream
MuGSI PIA Signed.pdf Supplementary Document Uploaded 2022-04-25 Repair queued
Att2- 60-Day FRN_2022.docx Supplementary Document Uploaded 2022-04-25 Repair queued
Att1- Authorizing_Regulations_T42_section_241.pdf Supplementary Document Uploaded 2022-04-25 Missing upstream
SSB_EIP 2022 Revision_04052022.docx Supporting Statement B Uploaded 2022-04-25 Repair queued
SSA_EIP 2022 Revision_04212022_SMN_Clean final.docx Supporting Statement A Uploaded 2022-04-25 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
253051 HAIC Death Ascertainment Project Form and Instruction New
253049 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey Form and Instruction New
253048 Community-Associated CP-CRE Interview Form and Instruction New
235058 HAIC Candidemia Periodic Laboratory Survey Form and Instruction Modified
235057 HAIC Invasive Staphylococcus aureus Annual Surveillance Officers Survey Form and Instruction Modified
235056 HAIC Invasive Staphylococcus aureus Annual Laboratory Survey Form and Instruction Modified
235055 HAIC CDI LTCF Survey Form and Instruction Modified
235054 HAIC CDI Annual Surveillance Officers Survey Form and Instruction Modified
235053 HAIC CDI Annual Laboratory Survey Form and Instruction Modified
235052 Flu Surv NET Laboratory Survey Form Modified
235051 Foodnet Clinical Laboratory Practices and Testing Volume Form and Instruction Modified
231114 HAIC Candidemia Case Report Form Form and Instruction Modified
231113 HAIC Invasive Methicillin-Sensitive Staphylococcus aureus (MSSA) Form and Instruction Modified
231112 HAIC Multi-Site Gram-Negative Surveillance Initiative - Extended Spectrum Beta-Lactamase Producing Enterobacteriaceae (MuGSI-ESBL) Form Modified
231111 Influenza Hospitalization Surveillance Project Provider Vaccination History Fax Form (Children/Adults) Form and Instruction Modified
231110 Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (Spanish) Form and Instruction Modified
230869 ABCs Severe GAS Infection Supplemental Form Form and Instruction Modified
220380 ABCs H. Influenzae Neonatal Sepsis Expanded Surveillance Form Form and Instruction Modified
217336 HAIC Multi-Site Gram-Negative Bacilli Case Report Form (MuGSI-CRE/CRAB) Form Modified
217334 HAIC CDI Case Report Form Form and Instruction Modified
207663 FoodNet Yersinia Other-Variable list Modified
207662 FoodNet Vibrio Other-Variable list Modified
207661 FoodNet Shigella Other-Variable list Modified
207660 FoodNet Shiga toxin producing E. coli Other-Variable list Modified
207659 FoodNet Salmonella Other-Variable list Modified
207658 FoodNet Listeria monocytogenes Other-Variable list Modified
207657 FoodNet Cyclospora Other-Variable list Modified
207655 FoodNet Campylobacter Other-Variable list Modified
207653 Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (English) Form and Instruction Modified
207652 FoodNet Hemolytic Uremic Syndrome (HUS) Form and Instruction Modified
207651 Influenza Hospitalization Surveilance Network Case Report Form Form and Instruction Modified
207649 ABCs Neonatal Infection Expanded Tracking Form Form and Instruction Modified
207648 ABCs Invasive Pneumococcal Disease in Children Form and Instruction Modified
207647 HAIC Invasive Methicillin-resistant Staphylococcus aureus (MRSA) Form and Instruction Modified
207646 ABCs Case Report Form Form and Instruction Modified
ICR Details
0920-0978 202204-0920-008
Received in OIRA 202112-0920-010
HHS/CDC 0920-0978
Emerging Infections Program
Revision of a currently approved collection   No
Regular 04/25/2022
  Requested Previously Approved
36 Months From Approved 04/30/2022
132,520 99,360
53,784 38,810
0 0

The Emerging Infections Programs (EIP) is to 1) detect and monitor emerging pathogens, the diseases they cause, and the factors influencing their emergence, and respond to problems as they are identified, 2) integrate laboratory science and epidemiology to optimize public health practice, 3) strengthen infrastructure to support surveillance and research and to implement prevention and control programs, and to 4) ensure implementation of prevention strategies and communication of public health information about emerging diseases. Surveillance efforts of the core EIP activities generate reliable estimates of the incidence of certain infections and provide the foundation for a variety of epidemiologic studies. This Revision requests the use of two additional forms and including minor revised language and rewording to improve clarity and readability of the data collection forms.

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

Not associated with rulemaking

  87 FR 4891 01/31/2022
87 FR 24305 04/25/2022
No

35
IC Title Form No. Form Name
ABCs Case Report Form 0920-0978 2022 ABC Surveillance Case Report
ABCs H. Influenzae Neonatal Sepsis Expanded Surveillance Form 0920-0978 ABC H. Influenzae Neonatal Sepsis Expanded Surveillance Form
ABCs Invasive Pneumococcal Disease in Children 0920-0978 ABC Invasive Pneumococcal Disease in Children (age>2 months to <5 years
ABCs Neonatal Infection Expanded Tracking Form none Neonatal Infection Expanded Tracking Form
ABCs Severe GAS Infection Supplemental Form 0920-0978 ABC Severe GAS Infection Supplemental Form
Community-Associated CP-CRE Interview 0920-0978 CA CP-CRE Survey Questionnaire
Flu Surv NET Laboratory Survey none FluSurv Lab Survey
FoodNet Campylobacter
FoodNet Cyclospora
FoodNet Hemolytic Uremic Syndrome (HUS) 0920-0978 FoodNet HUS CRF
FoodNet Listeria monocytogenes
FoodNet Salmonella
FoodNet Shiga toxin producing E. coli
FoodNet Shigella
FoodNet Vibrio
FoodNet Yersinia
Foodnet Clinical Laboratory Practices and Testing Volume none FoodNET Lab Practices Volume
HAIC CDI Annual Laboratory Survey n/a Annual Survey of Laboratory Testing Practices for C. difficile Infection
HAIC CDI Annual Surveillance Officers Survey 0920-0978 Surveillance Officer's Survey
HAIC CDI Case Report Form none CDI Case Report
HAIC CDI LTCF Survey 0920-0978 Emerging Infections Progrom C. difficile Surveillance Nuring Home Telephone Call Survey
HAIC Candidemia Case Report Form none Candidemia Case Report
HAIC Candidemia Periodic Laboratory Survey none Candidemia Lab Survey
HAIC Death Ascertainment Project 0920-0978 Death Ascertainment Project Variables
HAIC Invasive Methicillin-Sensitive Staphylococcus aureus (MSSA) none MSSA Report 2021
HAIC Invasive Methicillin-resistant Staphylococcus aureus (MRSA) none Invasive MRSA Case Report
HAIC Invasive Staphylococcus aureus Annual Laboratory Survey none Invasive Staph aureus Lab Survey
HAIC Invasive Staphylococcus aureus Annual Surveillance Officers Survey 0920-0978 2019 HAIC Invasive Staphylococcus aureus Supplemental Surveiallance Officer Survey
HAIC Multi-Site Gram-Negative Bacilli Case Report Form (MuGSI-CRE/CRAB) 0920-0978 2022 Carbapenem Resistant Enterobacteriaceae (CRE)/ Carbapenem resistant A. baumannii (CRAB) MuGSI HAIC Case Report Form
HAIC Multi-Site Gram-Negative Surveillance Initiative - Extended Spectrum Beta-Lactamase Producing Enterobacteriaceae (MuGSI-ESBL) 0920-0978 2022 MuGSI Extended-Spectrum Beta-Lactamase (ESBL)-Producing Enterobacteriaceae Case Report Form
HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey 0920-0978 MuGSI SO Survey Questionnaire
Influenza Hospitalization Surveilance Network Case Report Form none Influenza Hospitalization Surveillance Network Case Report
Influenza Hospitalization Surveillance Project Provider Vaccination History Fax Form (Children/Adults) 0920-0978 FluSurv Net Provider Vaccination History Fax Form
Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (English) 0920-0978 FluSurv NET Vaccination Phone Script
Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (Spanish) 0920-0978 FluSurv NET Vaccination Phone Script

  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 132,520 99,360 0 33,160 0 0
Annual Time Burden (Hours) 53,784 38,810 0 14,974 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Three new forms were added and a couple minor adjustments/corrections to burden or respondents.

$36,032,895
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Kevin Joyce 404 639-1944 [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.
04/25/2022