Change Request Justification

National Notifiable Diseases Surveillance System (NNDSS)

OMB Control Number 0920-0728

Expiration Date: 01/31/2017

Program Contact

Ralph Coates

Division of Health Informatics and Surveillance

Center for Surveillance, Epidemiology and Laboratory Services

Centers for Disease Control and Prevention

1600 Clifton Rd, MS-E91

Atlanta, GA 30033

Phone: (404) 498-0080

E-mail: [email protected]

Submission Date: December 19, 2014

Circumstances of Change Request for OMB 0920-0728

This is a nonmaterial/non-substantive change request for OMB No. 0920-0728, expiration date 01/31/2017, for the reporting of Nationally Notifiable Diseases. The National Notifiable Diseases Surveillance System (NNDSS) is the nation’s public health surveillance system that enables all levels of public health (local, state, territorial, federal and international) to monitor the occurrence and spread of the diseases and conditions that the Council of State and Territorial Epidemiologists (CSTE) has officially designated as either “nationally notifiable” or as under “national surveillance.” The NNDSS facilitates the submission and aggregation of case notification data voluntarily submitted to CDC from 57 jurisdictions: health departments in every U.S. state, New York City, Washington DC, and 5 U.S. territories (American Samoa, the Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands). NNDSS also facilitates relevant data management, analysis, interpretation and dissemination of the information. The data are used to monitor health occurrence of notifiable conditions and to plan and conduct prevention and control programs at the state, territorial, local and national levels.

This request is for the addition of 14 disease-specific data elements for Arboviral diseases only. The data elements included in this change request were originally intended to be included with the original submission. There is no change in burden as the burden was accounted for at the time OMB No. 0920-0728 was originally submitted.

The additional data elements requiring the change request are in the following tables:

Arboviral Data Elements

PHINUID	Concept Name	DefinitionText
New TBD	FeverMedication	Did patient receive medication for fever?
New TBD	ImmuneSuppressTreatment	Is patient on immunosuppressive therapy?
New TBD	ImmuneSuppressCondition	Does patient have an immunosuppressive condition?
New TBD	ImmuneSuppressDesc	Description of immunosuppressive condition
New TBD	OtherAfebrileCause	Other afebrile causes
New TBD	ChillsRigors	Did patient have chills or rigors?
New TBD	FatigueMalaise	Did patient exhibit fatigue or malaise?
New TBD	Ataxia	Did patient have ataxia?
New TBD	ParkinsonismCogwheel	Was Parkinsonism cogwheel rigidity present?
New TBD	SevereShock	Did patient exhibit severe shock?
New TBD	SevereHemorrhage	Did patient have severe hemorrhaging?
New TBD	OtherSymptoms	Other symptoms of interest
New TBD	Arthralgia	Did patient exhibit arthralgia?
New TBD	Arthritis	Did patient exhibit arthritis?

Burden

The annualized burden hours and cost to reporting jurisdictions to submit these data to CDC does not change from the original estimates in the “Estimates of Annualized Burden Hours and Costs” section in A.12 of OMB No. 0920-0728 because States already collect this information and it was included in the original burden table.

A.12A. Estimates of Annualized Burden Hours

Respondents	Number of Respondents	Number of Responses per Respondent	Average Burden Per Response (in hours)	Total Burden (in hours)
Weekly and Annual Submissions
States	50	52	10	26000
Territories	5	52	5	1300
Cities	2	52	10	1040
Total				28,340

A.12B. Estimates of Annualized Cost Burden

Respondents	Number of Respondents	Number of Responses per Respondent	Average Burden Per Response (in hours)	Hourly Wage Rate	Respondent Cost
Weekly and Annual Submissions
States	50	52	10	23.11	$600,860
Territories	5	52	5	23.11	$30,043
Cities	2	52	10	23.11	$24,034.40
Total					$654,937.40

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