Emergency Epidemic Investigation Data Collections - Expedited Reviews

ICR 201410-0920-003

OMB: 0920-1011

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Form
Unchanged
Form and Instruction
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form and Instruction
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Supplementary Document
2014-10-09
Justification for No Material/Nonsubstantive Change
2014-10-09
Supporting Statement B
2014-03-25
Supplementary Document
2013-11-20
Supplementary Document
2013-11-20
Supplementary Document
2013-11-20
Supplementary Document
2013-11-20
Supplementary Document
2013-11-20
Supplementary Document
2013-11-20
Supplementary Document
2013-11-20
Supplementary Document
2013-11-20
Supplementary Document
2013-11-20
Supplementary Document
2013-11-20
Supplementary Document
2013-11-20
Supporting Statement A
2014-03-25
ICR Details
0920-1011 201410-0920-003
Historical Inactive 201311-0920-016
HHS/CDC 15AB
Emergency Epidemic Investigation Data Collections - Expedited Reviews
No material or nonsubstantive change to a currently approved collection   No
Regular
Withdrawn and continue 10/29/2014
Retrieve Notice of Action (NOA) 10/17/2014
Approved consistent with the understanding that GenICs under this generic will be limited to acute public health emergencies resulting from outbreaks or events with undetermined agent, source, mode of transmission, or risk factors. Because of the time sensitivity of these investigations, OMB approval will generally be granted within 72 hours of the request. Existing OMB control number 0920-0008 will be discontinued once this generic is approved and active.
  Inventory as of this Action Requested Previously Approved
03/31/2017 03/31/2017 03/31/2017
36,000 0 36,000
18,000 0 18,000
0 0 0

Included as a non-substantive change request is the quarterly submission of the library of information collection instruments and gen-ic summaries as promised in the generic ICR.

US Code: 42 USC 301 Name of Law: PHSA
  
None

Not associated with rulemaking

  78 FR 41930 07/12/2013
78 FR 69854 11/21/2013
Yes

20
IC Title Form No. Form Name
Pediatric cluster of neurologic symptoms - Colorado none, none Medical Chart Abstraction ,   Family Interview Questionnaire
CCRF_Georgia none, none, none Case Investigation ,   KAP Survey ,   Consent
Chikungunya_USVI CDC 56.31 A REV. 06/2006 Dengue Case Investigation Report
2014E003XXX_MERS-CoV_GA none, none Questionnaire for Passengers and Crew ,   Follow-up Questionnaire for Asymptomatic Passengers and Crew
2014014-XXX Ebola_Sierra Leone
2014011-XXX Ebola_Liberia none, none Case Report Form ,   Contact Listing Form
Ebola_TX None, None Appendix 1 - Ebola Case Investigation Form ,   Appendix 2 - Ebola Case Contact Questionnaire
2014016-XXX_Ebola_DRC
2014013-XXX_Resp Illness UAC_Multi
BSI_CA none, none, none Chart Abstraction ,   Outpatient Dialysis Practices Survey ,   Reprocessing Observation Checklist
Pseudomonas NICU_CA
2014010-XXX Ebola_Guinea 0920-1011, 0920-1011 Appendix 1- Case Investigation Form ,   Appendix 2- Contact Tracing Form
2014005XXX_DiarrhealDisease_AS none, none Medical Abstraction Form ,   Case Questionnaire
2014009-XXX_Chikungunya_US Service Org Volunteers
2014012-XXX Resp Illness UC_CA
20140006XXX Measles FSM
2014008-XXX Chikungunya_PR none, none, none, none Household Questionnaire ,   Individual Questionnaire ,   Case Report (English) ,   Case Report (Spanish)
2014004XXX_Legionnaires' Disease_Alabama 2014 none, none Record Abstraction ,   Interview Questionnaire
2014015-XXX_Parechovirus_Multi none, none Chart Abstraction ,   Family interview
Ebola_West Africa_2014 none, none, none Observation Guide ,   Field Guide ,   Focus Group Guide

No
No
This is a new generic information collection request.

$1,510,099
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]

  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.
10/17/2014


© 2024 OMB.report | Privacy Policy