Emergency Epidemic Investigation Data Collections - Expedited Reviews

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix 2. Data Collection Forms.pdf	Supplementary Document	Uploaded 2016-08-17	Available
Appendix 1. Burden Memos.pdf	Supplementary Document	Uploaded 2016-08-17	Available
0920-1011 Non-Substantive Change Request Memo_Y3Q1_8-1-2016.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-08-17	Available
Appendix 2. Data Collection Forms.pdf	Supplementary Document	Uploaded 2016-04-27	Available
Appendix 1. Burden Memos.pdf	Supplementary Document	Uploaded 2016-04-27	Available
0920-1011 Non-Substantive Change Request Memo_Y2Q4_4-1-2016.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-04-27	Available
Appendix 2. Data Collection Forms.pdf	Supplementary Document	Uploaded 2016-01-27	Available
0920-1011 Non-Substantive Change Request Memo_Y2Q3_Subm 1-22-2016.docx	Supplementary Document	Uploaded 2016-01-27	Available
Appendix 1. Burden Memos.pdf	Supplementary Document	Uploaded 2016-01-27	Available
Appendix 2. Data Collection Forms_0920-1011.pdf	Supplementary Document	Uploaded 2015-11-03	Available
Appendix 1. Burden Memo_0920-1011.pdf	Supplementary Document	Uploaded 2015-11-03	Available
0920-1011 Non-Substantive Change Request Memo_Y2Q2_10-01-2015_Subm.docx	Supplementary Document	Uploaded 2015-11-03	Available
0920-1011 Non-Substantive Change Request Memo_Y2Q1_07-02-2015.docx	Supplementary Document	Uploaded 2015-07-07	Repair queued
Appendix 2. Data Collection Forms.pdf	Supplementary Document	Uploaded 2015-07-07	Available
Appendix 1. Burden Memo.pdf	Supplementary Document	Uploaded 2015-07-07	Available
Appendix 1. Burden Memos.pdf	Supplementary Document	Uploaded 2015-04-22	Available
Appendix 2. Data Collection Forms.pdf	Supplementary Document	Uploaded 2015-04-22	Available
0920-1011 Non-Substantive Change Request Memo_Y1Q4_04-15-2015.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-04-22	Available
0920-1011 Non-Substantive Change Request Memo_Y1Q3_03-02-2015.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-03-03	Available
Appendix 1. Burden Memos.pdf	Supplementary Document	Uploaded 2015-03-03	Repair queued
Appendix 2. Data Collection Forms.pdf	Supplementary Document	Uploaded 2015-03-03	Repair queued
2014012-XXX_Burden Memo.docx	Supplementary Document	Uploaded 2014-10-29	Available
2014010-XXX_Burden Memo.docx	Supplementary Document	Uploaded 2014-10-29	Available
2014008-XXX Burden Memo.docx	Supplementary Document	Uploaded 2014-10-29	Available
2014007-XXX Burden Memo.docx	Supplementary Document	Uploaded 2014-10-29	Available
2014006-XXX Burden Memo.docx	Supplementary Document	Uploaded 2014-10-29	Available
2014005-XXX Burden Memo.docx	Supplementary Document	Uploaded 2014-10-29	Available
2014004-XXX Burden Memo.docx	Supplementary Document	Uploaded 2014-10-29	Available
2014003-XXX_Burden Memo.docx	Supplementary Document	Uploaded 2014-10-29	Available
Inventory.pdf	Supplementary Document	Uploaded 2014-10-29	Available
EEI GenICR 0920-1011_Attach E _Burden Memo_9_16_2014.docx	Supplementary Document	Uploaded 2014-10-29	Available
EEI GenICR 0920-0111_Attach D_Request for Approval 9-16-2014.docx	Supplementary Document	Uploaded 2014-10-29	Available
EEI GenICR 0920-1011_Attach C_ Steps Conduct Emer Epi Invest_10_20_14.docx	Supplementary Document	Uploaded 2014-10-29	Available
0920-1011 Non-Substantive Change Request Memo_revised.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2014-10-29	Available
EEI GenICR_Supporting Statement B.docx	Supporting Statement B	Uploaded 2016-09-26	Available
EEI GenICR 0920-13ZJ_App 6_Online Survey Case Finding Questionnaire_11-06-2013.docx	Supplementary Document	Uploaded 2013-11-20	Available
EEI GenICR 0920-13ZJ_App 5_Phone Interview Questionnaire Patient_11-06-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Repair queued
EEI GenICR 0920-13ZJ_App 4_Q Fever Person Interview Questionnaire_11-14-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Available
EEI GenICR 0920-13ZJ_App 3 _Hantav Pulm Synd Questionnaire_11-14-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Available
EEI GenICR 0920-13ZJ_App 2_GBS Case Questionnaire_11-14-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Available
EEI GenICR 0920-13ZJ_App 1_Chart Abstract Form_11-14-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Available
EEI GenICR 0920-13ZJ_Attach H_Biospecimen Storage Consent_11-06-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Repair queued
EEI GenICR_0920-13ZJ_Attach G _Emer Epi Invest_IRB Letter_11-06-2013_Subm.pdf	Supplementary Document	Uploaded 2013-11-20	Available
EEI Gen ICR 0920-13ZJ_Attach F_Epi Invest SORN_11-06-2013.doc	Supplementary Document	Uploaded 2013-11-20	Available
EEI GenICR 0920-13ZJ_Attach E _Burden Memo_3-20-14.docx	Supplementary Document	Uploaded 2014-03-25	Available
EEI_Attach D_Request for Approval_3_20_14.docx	Supplementary Document	Uploaded 2014-03-25	Available
EEI GenICR 0920-13ZJ_Attach C_ Steps Conduct Emer Epi Invest_3_20_14.docx	Supplementary Document	Uploaded 2014-03-25	Available
EEI GenICR_0920-13ZJ_Attach B _Emer Epi Invest_Pub 60-day FRN_11-06-2013_Subm.pdf	Supplementary Document	Uploaded 2013-11-20	Available
EEI GenICR_0920-13ZJ_Attach A_Auth Legis Emer Epi Invest_11-06-2013_Subm.pdf	Supplementary Document	Uploaded 2013-11-20	Available
EEI_GenICR_Supporting Statement A.docx	Supporting Statement A	Uploaded 2016-09-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form

ICR Details

OMB Control No: 0920-1011	ICR Reference No: 201609-0920-019
Status: Historical Inactive	Previous ICR Reference No: 201608-0920-012
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1011
Title: Emergency Epidemic Investigation Data Collections - Expedited Reviews
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 10/12/2016
	Date Received in OIRA: 09/29/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	36 Months From Approved	03/31/2017
Responses	36,000	0	36,000
Time Burden (Hours)	18,000	0	18,000
Cost Burden (Dollars)	0	0	0

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Abstract: This Generic ICR requests extension of an approved ICR to conduct Emergency Epidemic Investigations. In response to external partner requests for assistance during outbreaks or other urgent events, EEI data collections aim to identify the agents, sources, modes of transmission, or risk factors to effectively implement rapid prevention and control measures. .

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: PHSA
  

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 46675	07/18/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 66028	09/26/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 0

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,547,376

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: 09/29/2016

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