Information Collection Request

[OPHDST] Generic Clearance for the Collection of Minimal Data Necessary for Case Data During an Emergency Response

ICR 202504-0920-012 · OMB 0920-1447 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1447 NEW WORLD SCREWWORM (NWS) CASE REPORT Form and Instruction New Available
OMB_0920-1447_Change Request_04092025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-15 Available
OMB_0920-1447_Change Request_04092025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-15 Repair queued
Att 3 - List of MDN for Case Data 04092025.xlsx Supplementary Document Uploaded 2025-04-15 Available
Att 3 - List of MDN for Case Data 04092025.xlsx Supplementary Document Uploaded 2025-04-15 Missing upstream
EO14168 CRM MDN.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-20 Repair queued
EO14168 CRM MDN.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-20 Repair queued
SSA_MDN Generic ICR_Updated.docx Supporting Statement A Uploaded 2024-09-13 Repair queued
SSA_MDN Generic ICR_Updated.docx Supporting Statement A Uploaded 2024-09-13 Repair queued
Att 9 - PRA Burden Statement Screenshot.pdf Supplementary Document Uploaded 2024-09-12 Available
Att 9 - PRA Burden Statement Screenshot.pdf Supplementary Document Uploaded 2024-09-12 Repair queued
Att 8 - Research Determination.pdf Supplementary Document Uploaded 2024-09-12 Repair queued
Att 8 - Research Determination.pdf Supplementary Document Uploaded 2024-09-12 Repair queued
Att 7 - DCIPHER PIA.pdf Supplementary Document Uploaded 2024-09-12 Available
Att 7 - DCIPHER PIA.pdf Supplementary Document Uploaded 2024-09-12 Missing upstream
Att 6 - Response Specific Data Element Form.docx Supplementary Document Uploaded 2024-09-12 Available
Att 6 - Response Specific Data Element Form.docx Supplementary Document Uploaded 2024-09-12 Repair queued
Att 5 - MDN for Case Data Form_Updated.docx Supplementary Document Uploaded 2024-09-13 Available
Att 5 - MDN for Case Data Form_Updated.docx Supplementary Document Uploaded 2024-09-13 Repair queued
Att 4 - List of Non MDN GenV2 Data Elements.xlsx Supplementary Document Uploaded 2024-09-12 Available
Att 4 - List of Non MDN GenV2 Data Elements.xlsx Supplementary Document Uploaded 2024-09-12 Missing upstream
List of MDN for Case Data 032025.xlsx Supplementary Document Uploaded 2025-03-20 Available
List of MDN for Case Data 032025.xlsx Supplementary Document Uploaded 2025-03-20 Repair queued
Att 2a - 60 day FRN.pdf Supplementary Document Uploaded 2024-09-12 Available
Att 2a - 60 day FRN.pdf Supplementary Document Uploaded 2024-09-12 Repair queued
Att 1 - Authorizing Legislation 42 USC 241.pdf Supplementary Document Uploaded 2024-09-12 Available
Att 1 - Authorizing Legislation 42 USC 241.pdf Supplementary Document Uploaded 2024-09-12 Repair queued
SSB_MDN Generic ICR.docx Supporting Statement B Uploaded 2024-09-12 Repair queued
SSB_MDN Generic ICR.docx Supporting Statement B Uploaded 2024-09-12 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
276895 Reemergence of New World Screwworm (NWS) Form and Instruction NewNEW WORLD SCREWWORM (NWS) CASE REPORT
ICR Details
0920-1447 202504-0920-012
Active 202503-0920-023
HHS/CDC 0920-25-0093
[OPHDST] Generic Clearance for the Collection of Minimal Data Necessary for Case Data During an Emergency Response
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 08/06/2025
Retrieve Notice of Action (NOA) 05/20/2025
  Inventory as of this Action Requested Previously Approved
10/31/2027 10/31/2027 10/31/2027
657,000 0 657,000
328,530 0 328,530
0 0 0

This information collection is designed to collect the MDN and response-specific data as needed, for confirmed, probable, and suspected cases of any disease or condition that is the subject of an emergency response at CDC. During an emergency response, CDC uses case data to inform actions that need to be taken at all levels of public health and by the public. State, tribal, local, and territorial (STLT) health departments and CDC need to exchange data on confirmed, probable, and suspected cases rapidly. Timely notification of cases from STLT to CDC is critical to provide situational awareness at the federal level to support decision making, particularly for public health threats. This Change Request is submitted to add new disease specific data elements (fields for outbreak status, CDC outbreak name, exposure dates, fields for 'other') for collection by CDC when individual GenICs are submitted under the 0920-1447 umbrella. Since each individual GenIC will differ, and will collect different data elements, there are no anticipated changes to the burden.

US Code: 42 USC 241 Name of Law: PHSA
  
None

Not associated with rulemaking

  89 FR 20476 03/22/2024
89 FR 74276 09/12/2024
Yes

1
IC Title Form No. Form Name
Reemergence of New World Screwworm (NWS) 0920-1447 NEW WORLD SCREWWORM (NWS) CASE REPORT

  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 657,000 657,000 0 0 0 0
Annual Time Burden (Hours) 328,530 328,530 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a New Generic Collection.

$1,186,391
No
    No
    No
No
No
No
No
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.
05/20/2025