Change request memo - Y1Q4

Non-substantial Change Request to OMB Control # 0920-1011
Emergency Epidemic Investigation Data Collections
Year 1, Quarter 4 (Date Submitted: April 15, 2015)

This is a non-substantive change request for the Emergency Epidemic Investigations (EEI) Generic ICR, (OMB Control No. 0920-1011, Expiration 3/31/17). This allows the Centers for Disease Control and Prevention (CDC) to continue to conduct EEIs in response to acute public health emergencies resulting from outbreaks or events with undetermined agents, undetermined sources, undetermined modes of transmission or undetermined risk factors. CDC frequently is called upon to conduct EEIs at the request of one or more external partners (e.g., local, state, tribal, military, port, other federal agency, or international health authorities or other partner organizations) seeking support to respond to urgent public health problems. In response to external partner requests, CDC readily provides necessary epidemiologic support to facilitate appropriate engagement in epidemiological investigations. Such investigations often are dependent on rapid and flexible data collection that evolves during the investigation period.

This non-substantive change request is submitted to comply with the stated procedures in the approved EEI Generic ICR package (as specified in point 5 under Special Circumstances Relating to the Guidelines of 5 CFR 1320.5), “CDC maintains a library of data collection instruments that includes all final data collection instruments conducted under this generic ICR. This library and the updated burden numbers based on data collected via the “Burden Memo” are submitted to OMB quarterly as a non-substantive change to the generic ICR.” This non-substantive change request includes the following: Burden Memos (Appendix 1) and final data collection forms (Appendix 2) for the 4 investigations conducted under 0920-1011 for which data collection was completed during Y1Q4 (January 1, 2015 to March 31, 2015).

The actual burden for the 4 investigations completed during Y1Q4 was 1,102 respondents and 303 burden hours. This is greater than the 806 respondents and 285 burden hours that was projected in the GenIC requests for these investigations.

Table 1. Burden in Y1Q4

Type of Respondents	Form Name	No. of Respondents	Avg. Burden per Response (in hrs.)	Total Burden (in hrs.)
Emergency Epidemic Investigation Participants	Emergency Epidemic Investigation Data Collection Instruments	1102	15/60	303
Total	303

Table 2 below summarizes the data collection form name and projected and actual burden for each approved GenIC. A projected burden of 0 indicates the data collection form was developed in the field.

Table 2. Y1Q4 Data Collection Forms and Projected and Actual Burden, By GenIC

			Projected Burden		Actual Burden
GenIC No. (OMB)	Date Approved	Form Name	No. Respondents	Hours	No. Respondents	Hours
2015003-XXX	12/14/2014	Dengue_Household Questionnaire	30	8	115	38
2015003-XXX	12/14/2014	Dengue_Individual Questionnaire	150	38	194	65
2015003-XXX	12/14/2014	Dengue_Environmental Collection	30	8	113	57
2015003-XXX	12/14/2014	Dengue_Case Investigation Form	10	2	68	23
2015003-XXX	12/14/2014	Dengue_Consent/Assent Form	0	0	194	16
2015004-XXX	12/23/2014	Mucormycosis_Infection Prevention and Control Questions	20	7	29	10
2015004-XXX	12/23/2014	Mucormycosis_Medical Record Abstraction Form	6	36	3	16
2015005-XXX	1/22/2015	Tainted Beverage_Questionnaire	250	83	17	6
2015005-XXX	1/22/2015	Tainted Beverage_Questionnaire	0	0	4	34
2015006-XXX	2/15/2015	Burkholderia_ Risk Assessment Questionnaire	310	103	276	23
2015006-XXX	2/15/2015	Burkholderia_Exposure History	0	0	89	15
		Total Actual Burden			1102	303

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