Contact Investigation Outcome Reporting Forms
(OMB Control No. 0920-0900)
Expires 06/30/2018
Request for Revision of a Currently Approved Data Collection
1/12/2018
Updated 3/28/2018
Lee Samuel
National Center for Emerging and Zoonotic Infectious Diseases
Centers for Disease Control and Prevention
1600 Clifton Road, NE
Atlanta, Georgia 30333
Phone: (404) 718-1616
Email: [email protected]
1. Respondent Universe and Sampling Methods 2
2. Procedures for the Collection of Information 2
3. Methods to Maximize Response Rates and Deal with No Response 2
4. Tests of Procedures or Methods to be Undertaken 2
5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or 2
B. Collections of Information Employing Statistical Methods
No statistical methods are used in this information collection.
The information to be collected in the proposed request will be gathered primarily by state and local health department officials, maritime operators, and, on occasion, CDC staff. This information will be requested by CDC in the event that persons who have traveled by air, sea, or, rarely, other land-based commercial conveyance are confirmed to have a case of infectious disease and require follow-up to prevent further spread. The frequency of these requests will be determined by the number of disease exposure risks for which a contact investigation is prudent.
The process begins when CDC learns that an individual traveled and is confirmed to have been in an infectious state during their flight, maritime voyage, or other travel and may have exposed other individuals. CDC then obtains manifest information and shares the relevant contact information for the exposed travelers with State/Local public health staff or Cruise Ship Medical Staff/Cargo Ship Managers. These partners make contact with the individuals within their respective jurisdictions or ships based on information provided by CDC via the secure Epi-X notification system or secure email. Submission of the appropriate contact investigation follow-up form by the public health staff or Cruise Ship Medical Staff/Cargo Ship Managers is by secure fax or through secure e-mail. A copy of the follow up form will be sent to CDC for use in analyzing, coordinating, and maintaining oversight of case that triggered the initiation of the contact investigation.
Response to this data collection is voluntary. The information requested on each of the forms has been streamlined to ensure the ease of response and to minimize the public burden. Each form is constructed to collect information that is useful for public health purposes for environment in which the communicable disease exposure took place, e.g. airplanes vs cruise ships.
CDC currently collects this information under a previously approved OMB control number 0920-0900. The protocols and electronic systems used for this data collection are continually updated and improved for quality of data collection and ease of use for the public, state and local public health, maritime and air industry, and CDC program administrators.
5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data
Not Applicable
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Samuel, Lee (CDC/OID/NCEZID) |
| File Modified | 0000-00-00 |
| File Created | 2021-01-21 |