I-Catalyst Template_NCIRD Influenza Surveillance

Request for Approval under the Generic Clearance “CDC I-Catalyst Program”

(OMB Control Number: 0920-1158)

TITLE OF INFORMATION COLLECTION: NCIRD INFLUENZA SURVEILLANCE

PURPOSE: Influenza has a substantial impact in the United States each year, with 5-20% of the population getting sick with the flu in any given season, resulting in hundreds of thousands of hospitalizations and thousands of deaths. Influenza-related activities take up a substantial amount of effort by state and local health departments every year to monitor the flu season, investigate and control outbreaks, and communicate with local government, the public, and the media.

The Epidemiology and Prevention Branch project team in the National Center for Immunization and Respiratory Diseases (NCIRD) wants to explore whether local and state departments may be interested in adapting methods used for Influenza surveillance and communication at the national level to state- and local-level efforts. The team is interested in whether a simple web tool or stand-alone tools would allow epidemiologists or surveillance officers at the state or local level to input data from their own jurisdiction to make local influenza burden and severity estimates that are consistent with the approach used and communicated on a national level by CDC.

DESCRIPTION OF RESPONDENTS:

Populations and customers to be interviewed include staff at state and local health departments (epidemiologists and surveillance officers) who analyze or synthesize influenza surveillance data and get questions every year about the burden and severity of the influenza season in their jurisdiction.

TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus Group [x] Other: one-on-one interviews

CERTIFICATION:

I certify the following to be true:

1. The collection is voluntary.

2. The collection is low-burden for respondents and low-cost for the Federal Government.

3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

4. The results are not intended to be disseminated to the public.

5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.

Name: Juliana K. Cyril; Director -Office of Technology and Innovation – OADS CDC

Team Lead – Melissa Rolfes, NCIRD/OID/EPB

To assist review, please provide answers to the following question:

Personally Identifiable Information:

1. Is personally identifiable information (PII) collected? [ ] Yes [X] No

2. If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [X ] No

3. If Applicable, has a System or Records Notice been published? [ ] Yes [ ] No [X] N/A

Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [X] No

BURDEN HOURS

Type of Respondents	Form Name	No. of Respondents	No. of Responses per Respondent	Avg. Burden per Response (in hrs.)	Total Burden (in hrs.)
Flu surveillance staff at state and local health departments	Interview Guide	50	1	30/60	25
Total					25

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