Aggregate Reports for Tuberculosis Program Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)	Form and Instruction	Modified	Available
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual	Form and Instruction	Modified	Available
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - elect.	Form and Instruction	Removed	Repair queued
Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)	Form and Instruction	Modified	Available
Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers)	Form and Instruction	Modified	Available
Follow-up and Treatment for Contacts to TB Cases - Managers- manual	Form and Instruction	Modified	Available
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - elect.	Form and Instruction	Removed	Repair queued
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual	Form and Instruction	Modified	Available
SSB.docx	Supporting Statement B	Uploaded 2013-07-15	Available
Att 1_Legislative Authority.pdf	Supplementary Document	Uploaded 2013-07-15	Available
SSA.docx	Supporting Statement A	Uploaded 2013-07-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6884	Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)	Form and Instruction	Modified
178821	0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual	Form and Instruction	Modified
178820	0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - elect.	Form and Instruction	Removed
178819	Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)	Form and Instruction	Modified
178818	Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers)	Form and Instruction	Modified
178817	Follow-up and Treatment for Contacts to TB Cases - Managers- manual	Form and Instruction	Modified
178816	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - elect.	Form and Instruction	Removed
178815	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0457	ICR Reference No: 201307-0920-007
Status: Historical Active	Previous ICR Reference No: 201008-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No: 20002
Title: Aggregate Reports for Tuberculosis Program Evaluation
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: 08/21/2013
	Date Received in OIRA: 07/18/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2016	36 Months From Approved	09/30/2013
Responses	272	0	272
Time Burden (Hours)	226	0	226
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request for extension of OMB approval of a previously approved collection, OMB No. 0920-0457 expiration date 9/30/2013. The Division of Tuberculosis Elimination (DTBE), National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC) is submitting two public health report forms representing (1) denominator-based outcome measurements, (2) technology for data storage and transmission, and (3) the primary public health strategies for tuberculosis (TB) control. The respondents for the reports are the 68 state and local health departments having federal TB cooperative agreements. These health departments control TB by finding TB cases and ensuring the completion of therapy. To accelerate progress toward the national goal of TB elimination, strategies for finding and treating latent TB infection are critical. Two key components of these strategies are (1) evaluating persons who have been exposed to TB (i.e., contacts), and (2) testing among populations that have a high prevalence rate of latent TB infection or a high risk for TB disease (i.e., targeted testing). To monitor these two activities nationally, CDC collaborated with the respondents in designing two Aggregate Reports for Tuberculosis Program Evaluation. The data that are requested by CDC in these reports are not identifiable at the individual level and are submitted only in aggregate format. Both reports are used by the respondents in conjunction with DTBE, as indicator tools for program evaluation, as approximations of workload, and as general sources for epidemiological analysis. CDC uses the summary U.S. results in assessing the national progress toward TB elimination.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service - Research and Investigations generally
  

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:
	78 FR 22267	04/15/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 42078	07/15/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual	None	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual
Follow-up and Treatment for Contacts to TB Cases - Managers- manual	None	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - Program Managers- (Manual)
Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)	None	Follow-up and Treatment of Contacts to Tuberculosis Case Form
Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers)	None	Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers)
Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)	None	Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual	None	Targeted Testing and Treatment for Latent TB Infection - Program Managers- (manual)
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - elect.	none	Follow-up and Treatment
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - elect.	none	Targeted Testing and Treatment for Latent TB Infection

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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	272	272	0	0	0	0
Annual Time Burden (Hours)	226	226	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: No changes are requested in this extension. Lines 1&3 were combined and Lines 5&6 of the Part 2 were combined. Therefore instead of having a total of 8 ICs, there are 6 ICs.

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Annual Cost to Federal Government: $77,851

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? 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: 07/18/2013

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