Emergency Submission for
Active Monitoring of Travelers Coming from Ebola-affected Countries and
Their Contacts Currently Residing in
State, Territorial, and Local Jurisdictions
Supporting Statement B
Collection of Information Employing Statistical Methods
Existing Collection in Use without OMB Control Number
Program Contact
Sara Vagi
Ebola State Coordination Task Force – Evaluation and Monitoring Unit
Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention
1600 Clifton Road, N.E., MS D18
Email: [email protected]
Submission Date: March 23, 2015
Table of Contents
Collection of Information Employing Statistical Methods
1. Respondent Universe and Sampling Methods
2. Procedures for the Collection of Information
3. Methods to Maximize Response Rates and Deal with No response
4. Tests of Procedures or Methods to be Undertaken
5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data
Attachment C: Daily Direct Active Monitoring (DAM) Recording and CDC Reporting Form (Excel)
Attachment D: Daily Direct Active Monitoring (DAM) Recording and CDC Reporting Form (Web)
Attachment E: Weekly Active Monitoring (AM) CDC Reporting Form (Word)
Attachment F: Weekly Active Monitoring (AM) CDC Reporting Form (Web)
Attachment G- Weekly Notification Email
Attachment H: CDC Assistance Memo for State Ebola Preparedness and Response
Attachment I: Association of State and Territorial Health Officers Comments
Attachment J: National Association of County and City Health Officers Comments
Emergency Submission for
Active Monitoring of Travelers Coming from Ebola-affected Countries and Their Contacts Currently Residing in State, Territorial, and Local Jurisdictions
B. Collections of Information Employing Statistical Methods
Respondent Universe and Sampling Methods
The potential respondent universe for these data collections consists of the 62 state, territorial and local health departments (50 states, 8 territories, and 4 cities)1 that receive funds through the CDC Public Health Preparedness (PHEP) Cooperative Agreement (CDC-RFA-TP12-1201). Only states, territories, and cities that have persons assigned to active or direct active monitoring will be required to report; jurisdictions that do not have persons at risk of Ebola virus disease (EVD) will not be required to report.
2. Procedures for the Collection of Information
Daily direct active monitoring will be collected via one of two methods. Each jurisdiction will receive a daily Excel spreadsheet [Attachment C & D: Daily Direct Active Monitoring (DAM) Recording and CDC Reporting Form (Excel & Web)] containing information for the persons in the jurisdiction who are under direct active monitoring. Respondents will be asked to either 1) complete between 1 and 5 fields (as appropriate) in the spreadsheet and to return the spreadsheet by email; or 2) to respond directly via email with the pertinent information.
Data for the weekly active monitoring reporting will be collected by two optional modes: either by a Word reporting form or by a web-based tool [Attachments E & F: Weekly Active Monitoring (AM) CDC Reporting Form (Word & Web)]. Respondents will receive a weekly email on Tuesdays (Attachment H- Weekly Notification Email) containing a link to the active monitoring tool. Respondents will have 24 hours to provide information for the preceding week (Monday- Sunday).
3. Methods to Maximize Response Rates and Deal with Nonresponse
The State Epidemiologist, representing any jurisdiction that does not respond within the prescribed time period for reporting, will receive a phone from the CDC State Coordination Task Force. State Epidemiologists will be reminded of the reasons that reporting is required, the uses of the requested information and the proper procedures for reporting.
In addition, the weekly notification email (Attachment G) will serve as a reminder that CDC is expecting timely reports.
4. Tests of Procedures or Methods to be Undertaken
The web-based assessment was pilot tested by 7 public health professionals within the jurisdictions receiving the greatest numbers of travelers from Ebola- affected countries. In the pilot test, the average time to complete the daily direct active monitoring form was 5 minutes. The average time to complete the weekly active monitoring report instrument including time for gathering needed information and completing the instrument, was approximately 8 minutes. Based on these results, the estimated time range for actual respondents to complete the instrument is 5-15 minutes. For the purposes of estimating burden hours, the upper limit of this range (i.e. 15 minutes) is used.
5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data
Two CDC staff members will be responsible for majority of the data collection and analysis activities.
Name: Sara Vagi
Title: Senior Epidemiologist
Phone: 404-639-0879
Email: [email protected]
Name: Michael Fanning
Title: Behavioral Scientist
Email: [email protected]
1 There are the 62 PHEP cooperative agreement awardees who are the respondents. For more information on the cooperative agreement program, see: http://www.cdc.gov/phpr/coopagreement.htm.
All 50 states
Four major metropolitan areas (Chicago, Los Angeles County, New York City, and Washington, D.C.)
Eight U.S. territories and freely associated states (American Samoa, Guam, U.S. Virgin Islands, Northern Mariana Islands, Puerto Rico, Federated States of Micronesia, Republic of the Marshall Islands, and Republic of Palau).
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | CDC Reviewer |
| File Modified | 0000-00-00 |
| File Created | 2021-01-25 |