Information Collection Request

[NCEZID] Emerging Infections Program

ICR 202406-0920-004 · OMB 0920-0978 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form HAIC.400.13 Data Elements Transferred to CDC for the HAIC Death Ascertainment Project Form and Instruction Modified Repair queued
Form HAIC.400.3 2024 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey Form and Instruction Modified Repair queued
Form HAIC.400.2 Community-Associated CP-CRE Interview Form and Instruction Modified Repair queued
Form HAIC.400.12 HAIC_2024 LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE Form and Instruction Modified Repair queued
Form HAIC.400.6 2023 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey Form and Instruction Modified Repair queued
Form HAIC.400.5 CDC's Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus 2024 Laboratory Survey Form and Instruction Modified Repair queued
Form HAIC.400.10 Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey Form and Instruction Modified Repair queued
Form HAIC.400.9 HAIC-Surveillance Officer's Survey Form and Instruction Modified Repair queued
Form HAIC.400.8 Annual Survey of Laboratory Testing Practices for C. difficile Infection Form and Instruction Modified Repair queued
Form FSN.300.4 FluSurv-NET Laboratory Survey 2023–2024 Season Form Modified Repair queued
Form FN.200.10 FoodNET Lab Survey Variable List 2024 Form Modified Repair queued
Form HAIC.400.11 CANDIDEMIA 2024 CASE REPORT FORM Form and Instruction Modified Repair queued
Form HAIC.400.4 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report – 2024 Form and Instruction Modified Missing upstream
Form FSN.300.3 FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM Form and Instruction Modified Repair queued
Form 0920-0978 Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (Spanish) Form and Instruction Removed Repair queued
Form ABC.100.4 ABCs Severe GAS Infection: Supplemental Form Form and Instruction Modified Repair queued
Form ABC.100.3 2019 ABCs H. Influenzae Neonatal Sepsis Expanded Surveillance Form Form and Instruction Modified Repair queued
Form HAIC.400.1 2024 (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report Form Modified Repair queued
Form HAIC.400.7 CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT Form and Instruction Modified Repair queued
Form FN.200.8 FoodNet Variable List, 2024_ (YERSINIA) Form and Instruction Modified Repair queued
Form FN.200.7 FoodNet Variable List, 2024_ (VIBRIO) Form and Instruction Modified Repair queued
Form FN.200.6 FoodNet Variable List, 2024_ (SHIGELLA) Form and Instruction Modified Repair queued
Form FN.200.5 FoodNet Variable List, 2024_ (SHIGA TOXIN PRODUCING E.COLI) Form and Instruction Modified Missing upstream
Form FN.200.4 FoodNet Variable List, 2024_ (SALMONELLA) Form and Instruction Modified Repair queued
Form FN.200.3 FoodNet Variable List, 2024_ (LISTERIA MONOCTOGENES) Form and Instruction Modified Repair queued
Form FN.200.2 FoodNet Variable List, 2024_ (CYCLOSPORA) Form and Instruction Modified Repair queued
Form FN.200.1 FoodNet Variable List, 2024_(CAMPYLOBACTER) Form and Instruction Modified Repair queued
Form FSN.300.2 FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW (English/Spanish) Form and Instruction Modified Repair queued
Form ABC.200.9 FoodNet Hemolytic Uremic Syndrome (HUS) Form and Instruction Modified Repair queued
Form FSN.300.1 FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form Form and Instruction Modified Repair queued
Form ABC.100.5 Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form Form and Instruction Modified Repair queued
Form ABC.100.2 ABCs Invasive Pneumococcal Disease in Children and Adults Form and Instruction Modified Repair queued
Form ABC.100.1 2024 Active Bacterial Core Surveillance (ABCs) Case Report Form and Instruction Modified Repair queued
Att. 6-Explanation for Program Changes.docx Supplementary Document Uploaded 2024-07-11 Repair queued
Att. 5-Human Subjects Determination Memo.pdf Supplementary Document Uploaded 2024-07-11 Repair queued
Att. 4a-Privacy Impact Assessment.pdf Supplementary Document Uploaded 2024-07-11 Repair queued
Att. 2-Federal Register 60day FRN.pdf Supplementary Document Uploaded 2024-07-11 Repair queued
Att. 1-Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2024-07-11 Repair queued
2. Supporting Statement B_EIP OMB 2024 Revision.docx Supporting Statement B Uploaded 2024-07-11 Repair queued
1. Supporting Statement A_EIP OMB 2024 Revision.docx Supporting Statement A Uploaded 2024-07-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
253051 Data Elements Transferred to CDC for the HAIC Death Ascertainment Project Form and Instruction Modified
253049 2024 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey Form and Instruction Modified
253048 Community-Associated CP-CRE Interview Form and Instruction Modified
235058 HAIC_2024 LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE Form and Instruction Modified
235057 2023 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey Form and Instruction Modified
235056 CDC's Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus 2024 Laboratory Survey Form and Instruction Modified
235055 Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey Form and Instruction Modified
235054 HAIC-Surveillance Officer's Survey Form and Instruction Modified
235053 Annual Survey of Laboratory Testing Practices for C. difficile Infection Form and Instruction Modified
235052 FluSurv-NET Laboratory Survey 2023–2024 Season Form Modified
235051 FoodNET Lab Survey Variable List 2024 Form Modified
231114 CANDIDEMIA 2024 CASE REPORT FORM Form and Instruction Modified
231113 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report – 2024 Form and Instruction Modified
231111 FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM Form and Instruction Modified
231110 Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (Spanish) Form and Instruction Removed
230869 ABCs Severe GAS Infection: Supplemental Form Form and Instruction Modified
220380 2019 ABCs H. Influenzae Neonatal Sepsis Expanded Surveillance Form Form and Instruction Modified
217336 2024 (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report Form Modified
217334 CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT Form and Instruction Modified
207663 FoodNet Variable List, 2024_ (YERSINIA) Form and Instruction Modified
207662 FoodNet Variable List, 2024_ (VIBRIO) Form and Instruction Modified
207661 FoodNet Variable List, 2024_ (SHIGELLA) Form and Instruction Modified
207660 FoodNet Variable List, 2024_ (SHIGA TOXIN PRODUCING E.COLI) Form and Instruction Modified
207659 FoodNet Variable List, 2024_ (SALMONELLA) Form and Instruction Modified
207658 FoodNet Variable List, 2024_ (LISTERIA MONOCTOGENES) Form and Instruction Modified
207657 FoodNet Variable List, 2024_ (CYCLOSPORA) Form and Instruction Modified
207655 FoodNet Variable List, 2024_(CAMPYLOBACTER) Form and Instruction Modified
207653 FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW (English/Spanish) Form and Instruction Modified
207652 FoodNet Hemolytic Uremic Syndrome (HUS) Form and Instruction Modified
207651 FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form Form and Instruction Modified
207649 Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form Form and Instruction Modified
207648 ABCs Invasive Pneumococcal Disease in Children and Adults Form and Instruction Modified
207646 2024 Active Bacterial Core Surveillance (ABCs) Case Report Form and Instruction Modified
ICR Details
0920-0978 202406-0920-004
Received in OIRA 202312-0920-011
HHS/CDC 0920-0978
[NCEZID] Emerging Infections Program
Revision of a currently approved collection   No
Regular 07/26/2024
  Requested Previously Approved
36 Months From Approved 02/28/2026
92,358 127,703
41,483 56,133
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.

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

Not associated with rulemaking

  89 FR 14501 02/27/2024
89 FR 58736 07/19/2024
No

32
IC Title Form No. Form Name
2019 ABCs H. Influenzae Neonatal Sepsis Expanded Surveillance Form ABC.100.3 2019 ABC H. Influenzae Neonatal Sepsis Expanded Surveillance Form
2023 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey HAIC.400.6 2023 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey
2024 (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report HAIC.400.1 2024 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report
2024 Active Bacterial Core Surveillance (ABCs) Case Report ABC.100.1 2024 Active Bacterial Core Surveillance (ABCs) Case Report
2024 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey HAIC.400.3 2024 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey
ABCs Invasive Pneumococcal Disease in Children and Adults ABC.100.2 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) INVASIVE PNEUMOCOCCAL DISEASE IN CHILDREN (aged ≥2 months to <5 years) AND ADULTS (aged ≥65 years)
ABCs Severe GAS Infection: Supplemental Form ABC.100.4 ABCs Severe GAS Infection: Supplemental Form
Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form ABC.100.5 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFECTION EXPANDED TRACKING FORM
Annual Survey of Laboratory Testing Practices for C. difficile Infection HAIC.400.8 Annual Survey of Laboratory Testing Practices for C. difficile Infection
CANDIDEMIA 2024 CASE REPORT FORM HAIC.400.11 CANDIDEMIA 2024 CASE REPORT FORM
CDC's Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus 2024 Laboratory Survey HAIC.400.5 CDC’s Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus 2024 Laboratory Survey
CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT HAIC.400.7 CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT
Community-Associated CP-CRE Interview HAIC.400.2 Community-Associated CP-CRE Interview
Data Elements Transferred to CDC for the HAIC Death Ascertainment Project HAIC.400.13 Data Elements Transferred to CDC for the HAIC Death Ascertainment Project
Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey HAIC.400.10 Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey
FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW (English/Spanish) FSN.300.2 FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW
FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM FSN.300.3 FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM
FluSurv-NET Laboratory Survey 2023–2024 Season FSN.300.4 FluSurv-NET Laboratory Survey 2023–2024 Season
FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form FSN.300.1 Influenza Hospitalizatin Surveillance Network (FluSurv-NET) Case Report Form
FoodNET Lab Survey Variable List 2024 FN.200.10 FoodNET Lab Survey Variable List, 2024
FoodNet Hemolytic Uremic Syndrome (HUS) ABC.200.9 FoodNet CDC's FoodNet Hemolytic Uremic Syndrome (HUS) Surveillance Case Report Form
FoodNet Variable List, 2024_ (CYCLOSPORA) FN.200.2 FoodNet Variable List, 2024_ (CYCLOSPORA)
FoodNet Variable List, 2024_ (LISTERIA MONOCTOGENES) FN.200.3 FoodNet Variable List, 2024_ (LISTERIA MONOCYTOGENES)
FoodNet Variable List, 2024_ (SALMONELLA) FN.200.4 FoodNet Variable List, 2024_ (SALMONELLA)
FoodNet Variable List, 2024_ (SHIGA TOXIN PRODUCING E.COLI) FN.200.5 FoodNet Variable List, 2024_ (SHIGA TOXIN PRODUCING E.COLI)
FoodNet Variable List, 2024_ (SHIGELLA) FN.200.6 FoodNet Variable List, 2024_ (SHIGELLA)
FoodNet Variable List, 2024_ (VIBRIO) FN.200.7 FoodNet Variable List, 2024_ (VIBRIO)
FoodNet Variable List, 2024_ (YERSINIA) FN.200.8 FoodNet Variable List, 2024_ (YERSINIA)
FoodNet Variable List, 2024_(CAMPYLOBACTER) FN.200.1 FoodNet Variable List, 2024_ (CAMPYLOBACTER)
HAIC-Surveillance Officer's Survey HAIC.400.9 HAIC Surveillance Officer’s Survey
HAIC_2024 LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE HAIC.400.12 2024 LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE
Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (Spanish) 0920-0978 FluSurv NET Vaccination Phone Script
Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report – 2024 HAIC.400.4 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report – 2024

  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 92,358 127,703 0 -32,015 -3,330 0
Annual Time Burden (Hours) 41,483 56,133 0 -14,372 -278 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Changing Forms
This is a request for a revision. There are 13 total forms being changed as a part of this revision and no new forms being added. Most of the collection activities remain the same, however, there are a few proposed revisions including minor revised language and rewording to improve clarity and readability of the data collection forms. Details of each collection instrument for the revision are included in attachment entitled Explanation for Program Changes (Attachment 6).

$41,699,051
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
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.
07/26/2024