Request for Approval

OMB 0920-0728 change request_Babesiosis_20160908.doc

(NNDSS) Rubella (Data Elements)

Request for Approval

OMB: 0920-0728

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National Notifiable Diseases Surveillance System (NNDSS)

OMB Control Number 0920-0728

Expiration Date: 01/31/2019




Program Contact


Umed Ajani

Associate Director for Surveillance

Division of Health Informatics and Surveillance

Center for Surveillance, Epidemiology and Laboratory Services

Centers for Disease Control and Prevention

1600 Clifton Rd, MS-E91

Atlanta, GA 30329

Phone: (404) 498-0258

E-mail: [email protected]



Submission Date: September 8, 2016


Circumstances of Change Request for OMB 0920-0728


This is a nonmaterial/non-substantive change request for OMB No. 0920-0728, expiration date 01/31/2019, for the reporting of Nationally Notifiable Diseases. The National Notifiable Diseases Surveillance System (NNDSS) is the nation’s public health surveillance system that enables all levels of public health (local, state, territorial, federal and international) to monitor the occurrence and spread of the diseases and conditions that the Council of State and Territorial Epidemiologists (CSTE) has officially designated as either “nationally notifiable” or as under “national surveillance.” The NNDSS facilitates the submission and aggregation of case notification data voluntarily submitted to CDC from 57 jurisdictions: health departments in every U.S. state, New York City, Washington DC, and 5 U.S. territories (American Samoa, the Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands). NNDSS also facilitates relevant data management, analysis, interpretation and dissemination of the information. The data are used to monitor health occurrence of notifiable conditions and to plan and conduct prevention and control programs at the state, territorial, local and national levels.


This request is for a modification of 2 disease-specific data elements for babesiosis. The request is to change the timeframe of interest for two previously OMB-approved data elements from 8 weeks to a period of 1 year. There is no change in burden as the burden was accounted for at the time OMB No. 0920-0728 was originally submitted.


The data elements requiring the change request are in the following table:


Modified Babesiosis Data Elements


Data Element Identifier

Data Element Name

Data Element Description

TBD

Blood Recipient/ Blood Transfusion

In the year before symptom onset or diagnosis, did the subject receive a blood transfusion?

TBD

Blood Donor

In the year before symptom onset or diagnosis, did the subject donate blood?



Burden


The annualized burden hours and cost to reporting jurisdictions to submit these data to CDC does not change from the original estimates in the “Estimates of Annualized Burden Hours and Costs” section in A.12 of OMB No. 0920-0728 because reporting jurisdictions already collect this information and only approximately 10 cases of transfusion-associated babesiosis are reported each year across the United States. There will be no increase in burden for the reporting jurisdictions to send those data elements to CDC since most case notifications are submitted from already existing databases.


A.12A. Estimates of Annualized Burden Hours


Respondents

Number of Respondents

Number of Responses per Respondent

Average Burden Per Response (in hours)

Total Burden (in hours)

Weekly and Annual Submissions

States

50

52

10

26,000

Territories

5

52

5

1,300

Cities

2

52

10

1,040

Total

 

 

 

28,340



A.12B. Estimates of Annualized Cost Burden


Type of Respondents

Form Name

Number of Respondents

Number of Responses per Respondent

Average Burden Per Response (in hours)

Total Burden Hours

Hourly Wage Rate

Respondent Cost

States

Weekly and Annual

50

52

10

26,000

$35.63

$926,380

Territories

Weekly and Annual

5

52

5

1,300

$35.63

$46,319

Cities

Weekly and Annual

2

52

2

1,040

$35.63

$37,055

Total







$1,009,754





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File TitleOMB CY 08
Authorwsb2
Last Modified ByMorrill, William E. (CDC/OPHSS/CSELS)
File Modified2016-09-08
File Created2016-09-08

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