Justification for the Change Request

Request for Nonmaterial/Non-substantive Change to an Approved Information Collection

CDC Model Performance Evaluation Program (MPEP) for

Mycobacterium tuberculosis Drug Susceptibility Testing

(OMB Control No. 0920-0600)

Exp. 05/31/2016

Contact:

Mitchell A. Yakrus

Project Officer

Laboratory Branch

Division of Tuberculosis Elimination

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

Centers for Disease Control and Prevention

1600 Clifton Road, N.E., MS F08

Atlanta, Georgia 30333

Phone: (404) 639-1288

Fax: (404) 639-1287

Email: [email protected]

Justification for the Change

This is a request for a change to a currently approved data collection. In this request, CDC is requesting approval for the following changes:

• Respondents will enter test results online using a modified survey instrument created using ADOBE^® FormsCentral (https://www.acrobat.com/formscentral/en/home.html) software. In the opinion of CDC, the format of this instrument is more user-friendly for entering results online than the prior data collection instrument created with Snap^® Surveys (http://www.snapsurveys.com/) software.

• Respondents will no longer need to report test concentrations of antituberculosis drugs used for drug susceptibility testing of MTBC isolates.

• Respondents entering results online will now be required to enter their contact email address. The ADOBE^® FormsCentral software will read this field and automatically send a copy of submitted responses back to the sender for recordkeeping.

• Modification of the MPEP M. tuberculosis Results Worksheet for participants to record their results prior to online entry to reflect that concentrations of antituberculosis drugs used for testing against MTBC isolates will no longer be reported.

In the opinion of CDC, the above changes will result in no change in burden for respondents.

Changes are detailed in the following table:

Form	Current Question/Item	Requested Change
Online Survey Instrument	Use Snap® Surveys to create survey and enter data online	Use ADOBE® FormsCentral to create survey and enter online
Online Survey Instrument	Respondents enter test concentrations for each drug	Respondents do not enter test concentrations for each drug
Online Survey Instrument	Respondents do not enter email address	Respondents enter email address allowing ADOBE® FormsCentral software to send copy of responses back to submitter
MPEP M. tuberculosis Results Worksheet	Respondents enter test concentrations for each drug	Respondents no longer enter test concentrations for each drug