Report of Verified Case of Tuberculosis (RVCT)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Attachment 3 72.9A Report of Verified Case of Tuberculosis (RVCT)	Form and Instruction	Modified	Available
0920-0026 Attachment 4 RVCT Instruction Manual.pdf	Supplementary Document	Uploaded 2011-04-08	Available
0920-0026 Attachment 2 60 Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2011-04-06	Available
0920-0026 Attachment 1 Applicable Statutes.pdf	Supplementary Document	Uploaded 2011-04-06	Available
0920-0026 Supporting Statement Part A V-PSSS 2011.doc	Supporting Statement A	Uploaded 2011-04-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6627	Report of Verified Case of Tuberculosis (RVCT)	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0026	ICR Reference No: 201104-0920-010
Status: Historical Active	Previous ICR Reference No: 200809-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Report of Verified Case of Tuberculosis (RVCT)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/10/2011
	Date Received in OIRA: 04/14/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2014	36 Months From Approved	05/31/2011
Responses	11,520	0	13,800
Time Burden (Hours)	6,720	0	8,050
Cost Burden (Dollars)	0	0	0

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Abstract: CDC is requesting OMB approval for 3-year extension of the data collection form called Report of Verified Case of Tuberculosis (RVCT) for the national tuberculosis (TB) surveillance system. The previously approved Information Collection Request is OMB No. 0920-0026. This request reflects extension without changes to the currently approved RVCT. Respondents to the collection remain as before, territorial, state, and local public health departments in 60 reporting areas (50 states, the District of Columbia, New York City, Puerto Rico, and 7 jurisdictions in the Pacific and Caribbean). National TB surveillance system data assist federal, state, and local public health officials and policy makers in program planning, evaluation, and resource allocation. CDC publishes summarized data on TB in the United States annually, which is disseminated to TB control officers, pulmonary and infectious disease experts, and others interested in TB control.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public 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:
	76 FR 7855	02/11/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 19364	04/07/2011
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
Report of Verified Case of Tuberculosis (RVCT)	Attachment 3 72.9A	CDC 72 9AB and C

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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	11,520	13,800	0	0	-2,280	0
Annual Time Burden (Hours)	6,720	8,050	0	0	-1,330	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: The estimated decrease of 1330 burden hours is due to having fewer TB cases reported in the United States as we continue progress towards TB elimination.

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Annual Cost to Federal Government: $1,511,814

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? Yes

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]? No

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: 04/14/2011

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