Asthma Information Reporting System (AIRS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
AIRS Hospital Discharge Reporting	Form	New	Available
AIRS Emergency Department Visits Reporting	Form	New	Available
AIRS Performance Measures Reporting	Form	Modified	Available
AIRS Revision SSA 20160323.docx	Supporting Statement A	Uploaded 2016-03-24	Available
AIRS Revision SSB 20160323.docx	Supporting Statement B	Uploaded 2016-03-23	Available
Att2a Public Comment.pdf	Supplementary Document	Uploaded 2016-03-23	Available
Att2 60-day FRN AIRS Revision 20160120.pdf	Supplementary Document	Uploaded 2016-03-22	Available
Att1 Authorizing Legislation.pdf	Supplementary Document	Uploaded 2016-03-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
220723	AIRS Hospital Discharge Reporting	Form	New
220722	AIRS Emergency Department Visits Reporting	Form	New
192746	AIRS Performance Measures Reporting	Form	Modified

ICR Details

OMB Control No: 0920-0853	ICR Reference No: 201603-0920-010
Status: Historical Active	Previous ICR Reference No: 201304-0920-019
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Asthma Information Reporting System (AIRS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/09/2016
	Date Received in OIRA: 03/28/2016
Terms of Clearance: Previous terms continue: This collection is approved consistent with the following terms: (1) any changes to the screen shots will need to be submitted to OMB as a change, and (2) when the system goes live, the OMB control number and the public burden statement must be visible on the screen.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	36 Months From Approved	06/30/2016
Responses	69	0	72
Time Burden (Hours)	82	0	288
Cost Burden (Dollars)	0	0	0

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Abstract: AIRS allows CDC to monitor state programs' planning and delivery of public health activities and the programs' collaboration with health care systems. The 23 state awardees receive funding to implement public health strategies and activities related to asthma. AIRS is the system by which state asthma programs report their progress on National Asthma Control Program developed performance measures (PM), as well as state-level asthma emergency department (ED) visit and hospital discharge (HD) data.

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Authorizing Statute(s): US Code: 42 USC 241 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:
	81 FR 3144	01/20/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 17165	03/28/2016
Did the Agency receive public comments on this ICR? Yes

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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
AIRS Performance Measures Reporting	none	Performance Measures Spreadsheets
AIRS Hospital Discharge Reporting	none	AIRS Hospital Discharge Reporting
AIRS Emergency Department Visits Reporting	none	AIRS Emergency Department Visits Reporting

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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	69	72	0	-3	0	0
Annual Time Burden (Hours)	82	288	0	-206	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: Burden reductions are due to reduction in reporting elements, reporting frequency reduced to once annually, and the number of funded states reduced from 36 to 23.

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Annual Cost to Federal Government: $744,720

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? No

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: 03/28/2016

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