Supporting Statement B-TB Follow up Worksheet_CLEANX

Supporting Statement B-TB Follow up Worksheet_CLEAN.DOCX

US Tuberculosis Follow-up Worksheet for Newly Admitted Persons with Overseas Tuberculosis Classifications

OMB: 0920-1238

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Information Collection for

The EDN Tuberculosis Follow-Up Worksheet for Newly-Arrived Persons with Overseas Tuberculosis Classifications


Request for OMB Approval of an Information Collection in Use without an OMB Control Number


April 3, 2018








Supporting Statement B
















Contact:

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]

Table of Contents



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 Analyzing Data 3



No statistical methods are used. All data is a descriptive assessment made during medical follow-up of aliens arriving to the US needing follow up for tuberculosis infection or possible infection.

  1. Respondent Universe and Sampling Methods

Respondents are comprised of clinicians, tuberculosis coordinators, and refugee health coordinators who work at state or local health departments and will enter their findings from follow-up assessments of persons with overseas tuberculosis classification who resettle in their jurisdictions. All respondents are recommended to enter follow-up information but not required. No sampling methods are used. A response rate of close to 100% is expected from respondents.

  1. Procedures for the Collection of Information

The form is available in the secure Electronic Disease Notification (EDN) System for each person with overseas tuberculosis classification requiring follow-up. Respondents from state and local health departments have access to resources on how to enter information via the EDN “Help” section of the system. They can enter the follow-up information into the form and submit it electronically to the Centers for Disease Control and Prevention (CDC) through the EDN System.

  1. Methods to Maximize Response Rates and Deal with No Response

Routine quality assurance processes to determine response rates, accuracy, and reliability of information will be conducted routinely and shared with respondents. Annual reports on response rates will be provided to each respondent. Respondents can also assess response rates via the EDN “Report” feature. CDC staff hold routine bi-monthly meetings with an EDN workgroup to assess any issues or suggestions for the system. Additionally, CDC staff review the information provided in the follow-up form to ensure that states are reaching goals for follow up and offering treatment to individuals with latent infection or history of tuberculosis disease. Timely follow-up reports to CDC will provide CDC staff with means to effectively and efficiently assess overseas panel physicians’ performance.

  1. Tests of Procedures or Methods to be Undertaken

No pre-tests are planned.





  1. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data

Deborah Lee, MPH

Epidemiologist

DGMQ/CDC

Office: 404-639-0439

Email: [email protected]


Phil Lowenthal, MPH

Epidemiologist/EDN Workgroup Lead

California Department of Public Health

Office: 510-620-3051

Email: [email protected]

Kai Young, MPH

Health Scientist

DTBE/CDC

Office: 404-639-2217

Email: [email protected]


Donna Wegener, MA

Executive Director

National Tuberculosis Controllers Association

Office: 678-503-0503

Email: [email protected]





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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSamuel, Lee (CDC/OID/NCEZID)
File Modified0000-00-00
File Created2021-01-21

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