Justification for Non-Substantive Change

Nonmaterial/non-substantive change to OMB Control Number 0920-0900

Contact Investigation Outcome Reporting Forms

Expiration date

06/30/2018

Program Contact

Amy McMillen

Office of Policy and Planning

National Center for Emerging and Zoonotic Infectious Diseases

Centers for Disease Control and Prevention

1600 Clifton Road, N.E., MS C12

Atlanta, Georgia 30333

Phone: (404) 639-1045

Email: [email protected]

Circumstances of Change Request for OMB 0920-0900

CDC requests approval for a Nonmaterial/Non-Substantive Change to Supplement OMB Control Number 0920-0900. Contact Investigation Outcome Reporting Forms

The Centers for Disease Control and Prevention (CDC), Division of Global Migration and Quarantine (DGMQ) requests a Nonmaterial/Non-Substantive Change of the currently approved Information Collection Request: “Contact Investigation Outcome Reporting Forms.” This data collection supports the need for CDC staff to evaluate cases of communicable diseases of public health concern that are reported during travel and to conduct investigative contact tracing for those travelers that may have been exposed. The proposed update to the Contact Investigation Outcome Reporting Forms (Air) will facilitate the collection of data pertaining to these investigations.

Description of Changes:

CDC is requesting an update to the following forms under OMB Control Number 0920-0900:

• General Contact Investigation Outcome Reporting Form (Air)

• Measles Contact Investigation Outcome Reporting Form (Air)

• Rubella Contact Investigation Outcome Reporting Form (Air)

• TB Contact Investigation Outcome Reporting Form (Air)

The Nonmaterial/Non-Substantive Changes being made to these forms are to update a Fax number at the top of the form, which changed when CDC adopted a new digital fax/email service. Additionally, while reviewing the form, CDC discovered a few typos and clarifications to the information collected on these forms. These have now been corrected. These updates align the forms with the data field definitions in the Quarantine Activity Reports System (QARS).

Burden:

The Nonmaterial/Non-Substantive Changes result in no change to the Burden to Respondents.

Privacy Impact Assessment:

This update focusing on the Contact Investigation Outcome Reporting Forms (Air) has no effect on the Privacy Impact Assessment provided in the supporting statement for the information collection approved under OMB 0920-0900. Reports to CDC concerning outcomes from contact investigations are voluntary.

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