National Disease Surveillance Program - II. Disease Summaries

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Diarrheal Disease Surveillance Campylobacter	Form	New	Available
Attachment C 60-DayFRN 0920-0004.pdf	Supplementary Document	Uploaded 2007-01-19	Available
Attachment A Sec. 301 42 USC 241.pdf	Supplementary Document	Uploaded 2007-01-19	Available
0920-0004 SS FOR SUBMISSION.doc	Supporting Statement A	Uploaded 2007-01-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
37707	0920-0004 Influenza Annual Survey 55.31A	Instruction	Modified
178378	0920-0004 Influenza Virus PHLIS (year-round) electronic	Instruction	New
178377	0920-0004 Influenza Virus PHLIS (Oct-May) electronic	Instruction	New
178376	0920-0004 Influenza Virus 55.31 (fax and internet year-round)	Instruction	New
178375	0920-0004 Listeria Case Form	Instruction	New
178374	0920-0004 Suspected Viral Gastroenteritis (AKA Calicivirus Surveillance)	Instruction	New
178373	0920-0004 Cholera and Other Vibrio Illnesses 52.79	Instruction	New
178372	0920-0004 Waterborne Diseases Outbreak 52.12	Instruction	New
178371	0920-0004 Rabies Monthly Report (electronic)	Instruction	New
178370	0920-0004 Rabies Monthly Report (paper) 55.28	Instruction	New
178369	0920-0004 Foodborne Outbreak 52.13	Instruction	New
178368	0920-0004 Influenza-Like Illness (year-round) 55.20E	Instruction	New
178367	0920-0004 Influenza-Like Illness (Oct-May) 55.20	Instruction	New
178366	0920-0004 Influenza Virus 55.31 (fax and internet Oct-May)	Instruction	New
178365	0920-0004 National Respiratory and Enteric Virus Surveillance System NREVSS 55.83A-D	Instruction	New
178364	0920-0004 National Enterovirus Surveillance Report 55.9	Instruction	New
178363	0920-0004 Arboviral Diseases	Instruction	New
178362	0920-0004 Diarrheal Diseases Shigella	Instruction	New
178361	0920-0004 Diarrheal Diseases Salmonella	Instruction	New
178360	0920-0004 Diarrheal Diseases Campylobacter	Form	New	Diarrheal Disease Surveillance Campylobacter

ICR Details

OMB Control No: 0920-0004	ICR Reference No: 200701-0920-004
Status: Historical Active	Previous ICR Reference No: 200510-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: National Disease Surveillance Program - II. Disease Summaries
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/16/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/19/2007
Terms of Clearance: Approved consistent with CDC response to OMB questions and comments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	36 Months From Approved	05/31/2007
Responses	153,704	0	1,277
Time Burden (Hours)	21,107	0	12,732
Cost Burden (Dollars)	0	0	0

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Abstract: CDC surveillance programs are based on the premise that diseases cannot be diagnosed, prevented or controlled until existing knowledge is expanded and new ideas developed and implemented. Data on disease and preventable conditions are collected in accordance with jointly approved plans by CDC and the Council of State and Territorial Health Epidemiologists. The diseases/conditions included in this program are: influenza, respiratory/enterovirus, encephalitis, rabies, salmonella, campylobacter, shigella, foodborne diseases, and water-borne diseases.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	70 FR 72435	12/05/2005
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 2528	01/19/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 20

table that charts list of burden

IC Title	Form No.	Form Name
0920-0004 Arboviral Diseases
0920-0004 Cholera and Other Vibrio Illnesses 52.79
0920-0004 Diarrheal Diseases Campylobacter	1	Diarrheal Disease Surveillance Campylobacter
0920-0004 Diarrheal Diseases Salmonella
0920-0004 Diarrheal Diseases Shigella
0920-0004 Foodborne Outbreak 52.13
0920-0004 Influenza Annual Survey 55.31A
0920-0004 Influenza Virus 55.31 (fax and internet Oct-May)
0920-0004 Influenza Virus 55.31 (fax and internet year-round)
0920-0004 Influenza Virus PHLIS (Oct-May) electronic
0920-0004 Influenza Virus PHLIS (year-round) electronic
0920-0004 Influenza-Like Illness (Oct-May) 55.20
0920-0004 Influenza-Like Illness (year-round) 55.20E
0920-0004 Listeria Case Form
0920-0004 National Enterovirus Surveillance Report 55.9
0920-0004 National Respiratory and Enteric Virus Surveillance System NREVSS 55.83A-D
0920-0004 Rabies Monthly Report (electronic)
0920-0004 Rabies Monthly Report (paper) 55.28
0920-0004 Suspected Viral Gastroenteritis (AKA Calicivirus Surveillance)
0920-0004 Waterborne Diseases Outbreak 52.12

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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	153,704	1,277	0	152,427	0	0
Annual Time Burden (Hours)	21,107	12,732	0	8,375	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: Miscellaneous Actions

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a continuation with revisions. Two new forms for influenza surveillance via the internet have been added. In addition, a Listeria Case Report form has been added.

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Annual Cost to Federal Government: $40,000

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: 01/19/2007

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