Contact Investigation Outcome Reporting Forms
(OMB Control No. 0920-0900)
Expires 10/31/2017
Request for Revision
February 5, 2015
B. Collections of Information Employing Statistical Methods
1. Respondent Universe and Sampling Methods 2
2. Procedures for the Collection of Information 2
3. Methods to Maximize Response Rates and Deal with No Response 2
4. Tests of Procedures or Methods to be Undertaken 3
5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or 3
Contact Investigation Outcome Reporting Forms
(OMB Control No. 0920-0900)
Request for Revision
February 5, 2015
B. Collections of Information Employing Statistical Methods
No statistical methods are used in this data collection.
The information to be collected in the proposed request will be gathered primarily by state and local health department officials, and on occasion, CDC staff. This information will be requested by CDC in the event that persons who have traveled by air, sea or other land-based commercial conveyance are confirmed to have a case of infectious disease and require follow-up to prevent further spread. The frequency of these requests will be determined by the number of disease exposure risks that require contact investigation.
Submission is by secure fax or through electronic mail of the appropriate contact investigation outcome form. A copy will be sent to CDC for use in analyzing, coordinating, and maintaining control over the situation that caused imposition of the regulatory illness reporting requirements.
Response to this data collection is voluntary. The information requested on each of the forms has been streamlined to ensure the ease of response and to minimize the public burden.
CDC currently collects this data under a previously approved data collection. The protocols and electronic systems used for this data collection are continually updated and improved for quality of data collection and ease of use for the public, industry and CDC program administrators.
5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data
Not Applicable
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kate Pearson |
| File Modified | 0000-00-00 |
| File Created | 2021-01-25 |