Information Collection for Tuberculosis Data from Panel Physicians

ICR 201509-0920-006

OMB: 0920-1102

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2015-09-17
Supplementary Document
2015-09-17
Supplementary Document
2015-09-17
Supplementary Document
2015-09-17
Supporting Statement B
2016-02-22
Supporting Statement A
2016-02-22
IC Document Collections
IC ID
Document
Title
Status
218237 New
ICR Details
0920-1102 201509-0920-006
Historical Active
HHS/CDC 15AWV
Information Collection for Tuberculosis Data from Panel Physicians
Existing collection in use without an OMB Control Number   No
Regular
Approved with change 02/23/2016
Retrieve Notice of Action (NOA) 10/07/2015
Because TB Indicator data is not obtained from a national surveillance system, the database is representative only of TB incidence rates among U.S. migrant populations and not intended to develop country-wide prevalence estimates. This collection is approved with the understanding that when disseminating any data gathered from this collection, CDC will compare the characteristics of the population covered in the database to that of the population to whom they intend to generalize, and clearly caveat the likelihood of over or under-estimates of TB burden.
  Inventory as of this Action Requested Previously Approved
02/28/2019 36 Months From Approved
353 0 0
2,648 0 0
0 0 0

More than 760 panel physicians perform overseas pre-departure medical examinations at 353 panel sites. Screening for tuberculosis is an important part of the medical exam in order to diagnose active TB disease prior to arrival in the U.S. CDC needs to collect TB indicator data to have a more accurate system to collect information on immigrants. CDC had not previously obtained OMB approval for this data collection because it considered panel physicians an instrumentality of the U.S. Federal Government, as they are contracted by the U.S. Department of State to provide medical examinations. This ICR is being developed to bring this information collection into compliance with PRA.

US Code: 8 USC 1182 Name of Law: Immigration and Nationality Act
   US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  80 FR 44355 07/27/2015
80 FR 59154 10/01/2015
No

1
IC Title Form No. Form Name
TB Indicator Spreadsheet NA TB Indicator Spreadsheet

  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 353 0 0 0 0 353
Annual Time Burden (Hours) 2,648 0 0 0 0 2,648
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$25,050
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [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.
10/07/2015


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