National Disease Surveillance Program - II. Disease Summaries

ICR 201402-0920-007

OMB: 0920-0004

Federal Form Document

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Justification for No Material/Nonsubstantive Change
2014-02-07
Supplementary Document
2010-11-02
Supplementary Document
2010-11-02
Supplementary Document
2010-10-29
Supplementary Document
2008-12-22
Supplementary Document
2007-01-17
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2007-01-17
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2007-01-17
IC Document Collections
IC ID
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37707 Modified
209927 Removed
206690 Removed
199058 Modified
199057 Modified
199056 Modified
199055 Modified
199054 Modified
199053 Modified
199052 Modified
199051 Modified
199050 Modified
199049 Modified
199048 Modified
199047 Modified
199046 Modified
199045 Modified
199044 Removed
199043 Modified
199042 Modified
199041 Modified
199040 Modified
199039 Modified
199038 Removed
199037 Removed
186749 Modified
186748 Modified
178375 Removed
178374 Modified
178373 Removed
178372 Modified
178371 Removed
178370 Removed
178369 Modified
178365 Modified
178364 Modified
178363 Removed
178362 Removed
178361 Removed
178360 Removed
ICR Details
0920-0004 201402-0920-007
Historical Active 201401-0920-001
HHS/CDC 21418
National Disease Surveillance Program - II. Disease Summaries
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 02/20/2014
Retrieve Notice of Action (NOA) 02/11/2014
  Inventory as of this Action Requested Previously Approved
08/31/2014 08/31/2014 08/31/2014
199,167 0 292,746
48,493 0 56,252
0 0 0

Due to the constant evolution of technology, laboratory testing and data management practices have changed substantially over the past several years. The currently approved form NREVSS 55.83 is now outdated and this change request is for approval of a new data collection form.

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

Not associated with rulemaking

No

27
IC Title Form No. Form Name
0920-0004 Influenza Annual Survey 55.31A none Influenza Annual Survey
0920-0004 National Enterovirus Surveillance Report 55.9
0920-0004 National Respiratory and Enteric Virus Surveillance System NREVSS 55.83A-D
0920-0004 Foodborne Outbreak 52.13 CDC 52.13 National Outbreak Reporting System
0920-0004 Waterborne Diseases Outbreak 52.12 CDC 52.12 National Outbreak Reporting System: Waterborne Disease Transmission
0920-0004 Suspected Viral Gastroenteritis (AKA Calicivirus Surveillance)
HABISS No number HABISS
HABISS Monthly Reporting Form No Number HABISS Report
Daily Novel and Pandemic Influenza Virus State Case Status Summary Update none Daily Case Status
Enhanced Animal Rabies Surveillance Monthly Report 55.28 Lab confirmed cases of rabies
0920-0004 Cholera and Other Vibrio Illnesses 52.79
0920-0004 Listeria Case Form
Babesiosis Case Report Form none Babesiosis Case Report Form
Brucellosis Case Report Form none Brucellosis Case Report Form
Possible Human Rabies - Patient Information Form none Possible Human Rabies
Antiviral-Resistant Influenza infection Case Report Form none Antiviral-Resistant Influenza infection Case Report Form
NREVSS Laboratory Assessment none Lab Assessment
Novel and Pandemic Influenza A Virus Infection Case Investigation Form none Influenza A Case Investigation
Novel and Pandemic Influenza A Virus Infection Contact Trace Back Form none Influenza A Trace Back
Novel and Pandemic Influenza A Virus Infection Contact Trace Forward Form none Trace Forward
Human Infection with Novel Influenza A Virus Case Report Form none Human Infection with Novel Influenza A Virus Case Report Form
Aggregate Hospitalization and Death Reporting Weekly none Aggregate Hospital
Influenza Virus Fax Oct-May 55.31 Influenza Fax WHO Fax Form
Influenza virus fax year-round 55.31 none WHO Fax Form
Influenza virus Internet Oct - May 55.31 none WHO Electronic
Influenza virus Internet Year-Round 55.31 none WHO Electronic Form
Influenza Associated Pediatric Death Case Report Form none Pediatric Death Case Report
Influenza Virus Electronic year round - PHLIP
Influenza Virus Electronic year round PHIN-MS
Weekly Influenza-like Illness Oct - May 55.20 55.20 Weekly Influenza-like Illness
Weekly Influenza-like Illiness year round 55.20 55.20 Weekly Influenza Like Illness
Daily Influenza-like Illness Oct - May none Influenza-like Illness Daily and year round
Daily Influenza-like Illness year round none Influenza-like illness Reporting
CMRS Daily - City Health Officer or Vital Statistics Registrars none CMRS Daily
CMRS Weekly - City Health Officer or Vital Statistics Registrars none CMRS Weekly
0920-0004 Diarrheal Diseases Campylobacter 1 Diarrheal Disease Surveillance Campylobacter
0920-0004 Diarrheal Diseases Salmonella
0920-0004 Diarrheal Diseases Shigella
0920-0004 Arboviral Diseases none Arboviral Diseases
Rabies Monthly Report (paper) 55.28

  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 199,167 292,746 0 -93,579 0 0
Annual Time Burden (Hours) 48,493 56,252 0 -7,759 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Cutting Redundancy
Due to January 15,2014 approval of The National Electronic Disease Surveillance System ICR OMB Control# 0920-0728, The terms of clearance set forth by OMB state that a non-substantive change be submitted to note the removal of several disease/conditions from this information collection request to avoid duplication.

$40,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Catina Conner 4046394775

  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.
02/10/2014


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