Active Bacterial Core Surveillance (ABCs)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form no number Neonatal Group B Streptoccal Disease Prevention Tracking Form	Form	New	Available
Form no number ABCs Invasive Pneumococcal Disease in Children Form	Form	New	Available
Form No number Invasive Methicillin-resistant Staphylococcus aureus Case Form	Form	New	Available
Form no number Case Report Form	Form	New	Available
Attachment 13_MRSA changes 2008.doc	Supplementary Document	Uploaded 2008-08-11	Available
Attachment 12_ABCs Case Report Form changes for 2008.doc	Supplementary Document	Uploaded 2008-08-11	Available
Attachment 11_SORN DECISION- SORN for ABC.htm	Supplementary Document	Uploaded 2008-08-11	Available
Attachment 10_ABCs protocol_2008 (2).doc	Supplementary Document	Uploaded 2008-08-11	Available
Attachment 2_ABCs 60 Day FRN.pdf	Supplementary Document	Uploaded 2008-08-11	Available
Attachment 1 Authorizing Regulations_T42 section 241.doc	Supplementary Document	Uploaded 2008-08-11	Available
Coversheet Neonatal Group B Strep Tracking Form7_23_08ldl.doc	Supplementary Document	Uploaded 2008-08-11	Available
Attachment 9 FINAL_instruct EXTGBS_2008.doc	Supplementary Document	Uploaded 2008-08-11	Available
Coversheet Attachment 5 Invasive Pneumo Disease in Children.doc	Supplementary Document	Uploaded 2008-08-11	Available
Attachment 8 2008_Invasive MRSA CRF Instructions_FINAL.doc	Supplementary Document	Uploaded 2008-08-11	Available
Attachment 7_ABCs_CaseReportForm_Instructions_2008.doc	Supplementary Document	Uploaded 2008-08-11	Available
ABCs Supporting Statement A.doc	Supporting Statement A	Uploaded 2008-08-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
186330	Neonatal Group B Streptococcal Disease Prevention Tracking Form	Form	New	Neonatal Group B Streptoccal Disease Prevention Tracking Form
186329	ABCs Invasive Pneumococcal Disease in Children Case Report Form	Form	New	ABCs Invasive Pneumococcal Disease in Children Form
186328	Invasive Methicillin-resistant Staphylococcus aureus ABCs Case Report Form	Form	New	Invasive Methicillin-resistant Staphylococcus aureus Case Form
186327	ABCs Case Report Form	Form	New	Case Report Form

ICR Details

OMB Control No: 0920-0802	ICR Reference No: 200808-0920-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Active Bacterial Core Surveillance (ABCs)
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 with change	Conclusion Date: 01/09/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/28/2008
Terms of Clearance: This ICR is approved consistent with the memo received from HHS/CDC on 01/08/09 containing a revised Supporting Statement A and a revised Attachment 3.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2012	36 Months From Approved
Responses	14,960	0	0
Time Burden (Hours)	4,918	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: CDC's National Center for Immunization and Respiratory Disease requests approval for a new information collection designed to determine the incidence and epidemiologic characteristics of invasive disease due to Haemophilus influenzae, Neisseria meningitidis, group A Streptococcus, group B Streptococcus, Streptococcus pneumoniae, and methicillin-resistant Staphylococcus aureus.

---

Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 31489	06/02/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 47604	08/14/2008
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
ABCs Case Report Form	no number	Case Report Form
ABCs Invasive Pneumococcal Disease in Children Case Report Form	no number	ABCs Invasive Pneumococcal Disease in Children Form
Invasive Methicillin-resistant Staphylococcus aureus ABCs Case Report Form	No number	Invasive Methicillin-resistant Staphylococcus aureus Case Form
Neonatal Group B Streptococcal Disease Prevention Tracking Form	no number	Neonatal Group B Streptoccal Disease Prevention Tracking Form

---

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	14,960	0	0	14,960	0	0
Annual Time Burden (Hours)	4,918	0	0	4,918	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: No

Burden Reduction Due to:

Short Statement: This is a new data collection.

---

Annual Cost to Federal Government: $6,615,666

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

---

Common Form ICR:  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:

(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: 08/28/2008

---