Active Bacterial Core Surveillance (ABCs)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Active Bacterial Core Surveillance Neonatal Infection Expanded Tracking Form	Form	Modified	Available
Form no number ABCs Invasive Pneumococcal Disease in Children Form	Form	Modified	Available
Invasive Methicillin-Resistant Stafhylococcus Aureus Active Bacterial Core Surveillance Case Report	Form	Modified	Available
Active Bacterial Core Surveillance Case Report	Form	Modified	Available
Attachment 7_Ext GBS CRF 2008.pdf	Supplementary Document	Uploaded 2009-02-25	Available
Attachment 6_MRSA CRF 2008.pdf	Supplementary Document	Uploaded 2009-02-25	Available
Attachment 5_ABCs 2008.pdf	Supplementary Document	Uploaded 2009-02-25	Available
Attachment 1_2009 OMB ABCs forms justification_KM_KAT.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2009-02-25	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

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
186330	Neonatal Group B Streptococcal Disease Prevention Tracking Form	Form	Modified	Active Bacterial Core Surveillance Neonatal Infection Expanded Tracking Form
186329	ABCs Invasive Pneumococcal Disease in Children Case Report Form	Form	Modified	ABCs Invasive Pneumococcal Disease in Children Form
186328	Invasive Methicillin-resistant Staphylococcus aureus ABCs Case Report Form	Form	Modified	Invasive Methicillin-Resistant Stafhylococcus Aureus Active Bacterial Core Surveillance Case Report
186327	ABCs Case Report Form	Form	Modified	Active Bacterial Core Surveillance Case Report

ICR Details

OMB Control No: 0920-0802	ICR Reference No: 200903-0920-005
Status: Historical Active	Previous ICR Reference No: 200808-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Active Bacterial Core Surveillance (ABCs)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/11/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/10/2009
Terms of Clearance:

table that charts list comparision

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

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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. This is a request for minor changes to 3 of the surveillance forms with no change in burden.

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Authorizing Statute(s): US Code: 42 USC 301 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:
	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

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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	none	Active Bacterial Core Surveillance Case Report
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	none	Invasive Methicillin-Resistant Stafhylococcus Aureus Active Bacterial Core Surveillance Case Report
Neonatal Group B Streptococcal Disease Prevention Tracking Form	none	Active Bacterial Core Surveillance Neonatal Infection Expanded Tracking Form

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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	14,960	14,960	0	0	0	0
Annual Time Burden (Hours)	4,918	4,918	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

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: $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

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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: 03/10/2009

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