National Syndromic Surveillance Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Data Sharing Permissions	Form	New	Available
Data Collection Sharing	Form	Removed	Available
Data Collection Sharing	Form	Removed	Available
BioSense Registration	Form	Modified	Available
Att 3 - List of NSSP Participants.pdf	Supplementary Document	Uploaded 2016-05-11	Available
Att 9 - Research Determination.pdf	Supplementary Document	Uploaded 2015-10-29	Available
Att 8 - PIA.pdf	Supplementary Document	Uploaded 2015-10-29	Available
Att 7 - List of Experts Consulted.pdf	Supplementary Document	Uploaded 2015-10-29	Available
Att 5 - Security Letter.pdf	Supplementary Document	Uploaded 2015-10-29	Available
Att 2 - 60 day FRN.pdf	Supplementary Document	Uploaded 2015-10-29	Available
Att 1 - Authorizing Legislation.pdf	Supplementary Document	Uploaded 2015-10-29	Available
Supporting Statement A.final.docx	Supporting Statement A	Uploaded 2016-05-11	Available
Supporting Statement B.final.docx	Supporting Statement B	Uploaded 2016-05-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
221451	Data Sharing Permissions	Form	New	Data Sharing Permissions
203920	Data Collection: Administrator Sharing Permissions	Form	Removed	Data Collection Sharing
203920	Data Collection: Administrator Sharing Permissions	Form	Removed	Data Collection Sharing
190575	Registration	Form	Modified	BioSense Registration
190574	Recruitment	Other-Process	Modified

ICR Details

OMB Control No: 0920-0824	ICR Reference No: 201510-0920-008
Status: Historical Active	Previous ICR Reference No: 201208-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: National Syndromic Surveillance Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/12/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/09/2015
Terms of Clearance: If non-substantive change requests are employed to amend the types of syndromic surveillance data elements received from state and local health departments in this information collection, the agency will submit a non-substantive change request memo to OMB describing the new data elements, the necessity for inclusion, and how the data will be used.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2019	36 Months From Approved	05/31/2016
Responses	240	0	325
Time Burden (Hours)	50	0	50
Cost Burden (Dollars)	0	0	0

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Abstract: The National Syndromic Surveillance Program (previously called BioSense) supports the sharing and use of high-quality syndromic surveillance data for situational awareness and to identify, monitor, investigate, and respond to hazardous events and disease outbreaks at local, regional and national levels. CDC, state and local public health departments, DoD, VA, and other collaborators participating in NSSP submit healthcare data to the BioSense platform through automated electronic health information exchange.

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Authorizing Statute(s): PL: Pub.L. 109 - 417 1 Name of Law: Pandemic and All-Hazards Preparedness Act
   PL: Pub.L. 113 - 115 1 Name of Law: Pandemic and All-Hazards Preparedness Reauthorization Act of 2013
   US Code: 42 USC 247b Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 10097	02/25/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 67759	11/03/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Data Collection: Administrator Sharing Permissions	none	Data Collection Sharing ,   Data Collection Sharing
Data Sharing Permissions	none	Data Sharing Permissions
Recruitment
Registration	none	BioSense Registration

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ICR Summary of Burden

table that charts list of burden

	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	240	325	0	-85	0	0
Annual Time Burden (Hours)	50	50	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The reduction in burden is due to correcting the error of previously including burden for the DoD, VA, and two organizations that provide data that is not subject to the PRA.

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Annual Cost to Federal Government: $17,700,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/09/2015

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