Contact investigation Outcome Reporting Forms

ICR 201106-0920-002

OMB: 0920-0900

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2011-05-18
Supplementary Document
2011-05-18
Supporting Statement A
2011-06-01
ICR Details
0920-0900 201106-0920-002
Historical Inactive
HHS/CDC
Contact investigation Outcome Reporting Forms
New collection (Request for a new OMB Control Number)   No
Regular
Improperly submitted 06/01/2011
Retrieve Notice of Action (NOA) 06/01/2011
This collection requires a Supporting Statement Part B.
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0

CDC's Division of Global Migration and Quarantine has developed contact investigation outcome reporting forms for the different types of investigations. This new data collection called "Contact Investigation Outcome Reporting Form supports the need for CDC Quarantine staff to evaluate its contact investigation investigative protocols and in determining if adequate information on each contact was provided to those responsible for contacting passengers believed to have been exposed to a communicable disease during travel.

US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  75 FR 8057 12/22/2010
76 FR 29243 05/20/2011
No

Yes
Miscellaneous Actions
No
This is a new informaton collection request.

$8,211
No
Yes
No
No
No
Uncollected
Thelma Sims 4046394771

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/01/2011


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