Survey of Surveillance Records of Aedes aegypti and Aedes albopictus from 1960 to Present

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Survey of county-level surveillance records of Aedes aegypti and Aedes albopictus	Form and Instruction	New	Available
092216_stegomyia survey data request email text.docx	Supplementary Document	Uploaded 2016-10-13	Repair queued
092216_SSB - Survey of Surveillance Records of Aedes aegypti and Aedes albopictus.docx	Supporting Statement B	Uploaded 2016-10-13	Repair queued
093016SSA - Survey of Surveillance Records of Aedes aegypti and Aedes albopictus.docx	Supporting Statement A	Uploaded 2016-10-13	Available
J_Med Entomolgy Hahn_2016_Stegomyia.pdf	Supplementary Document	Uploaded 2016-09-22	Available
Att D - IRB NRD.PDF	Supplementary Document	Uploaded 2016-09-15	Available
Att B1 - Public comment.pdf	Supplementary Document	Uploaded 2016-09-15	Available
Att B - Published 60-day FRN.pdf	Supplementary Document	Uploaded 2016-09-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223567	Survey of county-level surveillance records of Aedes aegypti and Aedes albopictus	Form and Instruction	New

ICR Details

OMB Control No: 0920-1146	ICR Reference No: 201609-0920-011
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 16AWK
Title: Survey of Surveillance Records of Aedes aegypti and Aedes albopictus from 1960 to Present
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/15/2016
	Date Received in OIRA: 10/14/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2019	36 Months From Approved
Responses	500	0	0
Time Burden (Hours)	125	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of this survey is to collect county-level surveillance records of Aedes aegypti and Aedes albopictus, the vectors that transmit Zika Virus. Information will aid in 1) targeting vector control efforts to prevent mosquito-borne Zika virus transmission in the continental U.S. and 2) targeting future vector surveillance efforts.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: U.S. 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 52876	08/10/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 71098	10/14/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Survey of county-level surveillance records of Aedes aegypti and Aedes albopictus	NA	CDC Survey of County-Level Surveillance Records of Aedes aegypti and Aedes alboptictus from 1960 to Present

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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	500	0	0	500	0	0
Annual Time Burden (Hours)	125	0	0	125	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: No

Burden Reduction Due to:

Short Statement: 0920-16AWK is a New ICR for collection of Zika Virus-related data.

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Annual Cost to Federal Government: $12,733

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: 10/14/2016

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