Asthma Information Reporting System (AIRS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
AIRS Data Collection Instrument.docx	Supplementary Document	Uploaded 2010-06-15	Available
NG Non disclosure agreement.pdf	Supplementary Document	Uploaded 2010-04-15	Available
Document.pdf	Supplementary Document	Uploaded 2010-04-15	Available
42_USC_241.pdf	Supplementary Document	Uploaded 2010-04-15	Available
Document.pdf	Supplementary Document	Uploaded 2010-04-19	Available
092009ckPartAsupporting Statement.docx	Supporting Statement A	Uploaded 2010-04-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192746	AIRS Interim and End of Year Report	Other-Air Screen Shots Expanded	New

ICR Details

OMB Control No: 0920-0853	ICR Reference No: 201004-0920-015
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Asthma Information Reporting System (AIRS)
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: 06/21/2010
	Date Received in OIRA: 04/28/2010
Terms of Clearance: This collection is approved consistent with the following terms: (1) any changes to the screen shots will need to be submitted to OMB as a change, and (2) when the system goes live, the OMB control number and the public burden statement must be visible on the screen.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2013	36 Months From Approved
Responses	72	0	0
Time Burden (Hours)	288	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Asthma Information Reporting System (AIRS) will collect information in an electronic format from the Center for Disease Control's state and territorial grantees funded under the National Asthma Control Program.

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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:
	74 FR 46777	09/11/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 20601	04/20/2010
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
AIRS Interim and End of Year Report

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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	72	0	0	72	0	0
Annual Time Burden (Hours)	288	0	0	288	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 request for data collection.

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Annual Cost to Federal Government: $440,600

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]? No

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)? No

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: 04/28/2010

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