Complications Associated with Home Infusion Therapy: The Nature and Frequency of Blood Contacts among Health Care Workers

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Forms and supporting documents for this ICR

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Information collection document groups

IC ID	Collection	Type	Status	Form
6792	Complications Associated with Home Infusion Therapy: The Nature and Frequency of Blood Contacts among Health Care Workers		Migrated

ICR Details

OMB Control No: 0920-0389	ICR Reference No: 199605-0920-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Complications Associated with Home Infusion Therapy: The Nature and Frequency of Blood Contacts among Health Care Workers
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/19/1996
	Date Received in OIRA: 05/15/1996
Terms of Clearance: OMB approves this package contingent upon the correspondence of June 19, 1996. Specifically, CDC agrees that the results of this study will not be generalizable due to the non-representative nature of the study and, therefore, will not be used to formulate national guidelines. The study will only be used to estimate the nature and frequency of occupational percutaneous injuries and mucocutaneous blood contacts sustained by health care workers at the three sites specifically selected by CDC.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/1998	03/31/1998
Responses	57,491	0	0
Time Burden (Hours)	1,070	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection initiates surveillance of occupational percutaneous injuries and mucocuteneous blood contacts among HCW who provide home infusion therapy. The data will be used to estimate the nature and frequency of occupational percutaneous injuries and mucocutaneous blood contacts to assess the precautions and safety of the devices used to prevent occupational injuries and blood exposure.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Complications Associated with Home Infusion Therapy: The Nature and Frequency of Blood Contacts among Health Care Workers

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ICR Summary of Burden

table that charts list of burden

	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	57,491	0	0	57,491	0	0
Annual Time Burden (Hours)	1,070	0	0	1,070	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/15/1996

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