Request for Nonmaterial/Non-substantive change
Contact Investigation Outcome Reporting Forms
(OMB Control No. 0920-0900)
Expires 05/31/2021
Program Contact
Lee Samuel
National Center for Emerging and Zoonotic Infectious Diseases
Centers for Disease Control and Prevention
1600 Clifton Road, NE
Atlanta, Georgia 30329
Phone: (404) 718-1616
Email: [email protected]
Submission Date: 08/28/2018
Circumstances of Change Request for OMB 0920-0900
The Centers for Disease Control and Prevention (CDC), Division of Global Migration and Quarantine (DGMQ) requests a nonmaterial/non-substantive of the currently approved Information Collection Request: “Contact Investigation Outcome Reporting Forms”.
CDC is making minor changes in verbiage to the questions posed to cruise ship medical staff concerning outbreaks of influenza like illness (ILI) or influenza. The changes in verbiage are intended to clarify the intent of the question and be easier for the medical staff to answer. The changes are not expected to have any impact on reporting burden.
Description of the changes
The changes to the Influenza Like Illness Investigation Outcome Reporting Form (attachment F) are as follows.
Approved form |
Requested changes |
How many persons with ILI are considered high-risk†? |
Of your total case count, how many are considered high-risk†? |
How many persons with ILI symptoms were treated with antiviral medication? |
How many ILI cases were treated with antiviral medication? |
How many contacts‡ were identified? |
How many total contacts‡ were identified? |
How many contacts were high-risk‡? |
Of that total contact count, how many contacts were high-risk‡? |
How many influenza tests were done? |
How many influenza tests were done on ILI cases? |
How many tests were positive? |
Of the ILI cases tested, how many tests were positive? |
Approximately how many crew members are vaccinated with this year’s influenza vaccine? |
What percentage of your crew members are vaccinated with this year’s influenza vaccine? |
The original questions were, to varying degrees, confusing or unclear to cruise ship clinicians, which resulted in reports that did not yield the type of useful information requested by CDC pertaining to outbreaks of ILI or influenza on cruise ships.
Burden
The change in verbiage is not expected to materially change the burden associated with submitting the ILI and influenza-related information to CDC. These data are collected as part of outbreak investigations performed by CDC in partnership with the cruise lines.
The burden table below is unchanged from the approved one. The highlighted row is the only form with requested changes.
Type of Respondent |
Form Name |
Number of Respondents |
Number of Responses per |
Average Burden per Response |
Total Burden Hours |
Cruise Ship Physicians/Cargo Ship Managers |
Clinically Active TB Contact Investigation Outcome Reporting Form - Maritime |
15 |
1 |
20/60 |
5 |
Cruise Ship Physicians/Cargo Ship Managers |
Varicella Investigation Outcome Reporting Form |
29 |
1 |
20/60 |
10 |
Cruise Ship Physicians/Cargo Ship Managers |
Influenza Like Illness Investigation Outcome Reporting Form |
45 |
1 |
20/60 |
15 |
State/Local public health staff |
General Contact Investigation Outcome Reporting Form -Air |
34 |
1 |
5/60 |
3 |
State/Local public health staff |
TB Contact Investigation Outcome Reporting Form - Air |
547 |
1 |
5/60 |
46 |
State/Local public health staff |
Measles Contact Investigation Outcome Reporting Form - Air |
324 |
1 |
5/60 |
27 |
State/Local public health staff |
Rubella Contact Investigation Outcome Reporting Form - Air |
27 |
1 |
5/60 |
2 |
State/Local public health staff |
General Contact Investigation Outcome Reporting Form -Land |
15 |
1 |
5/60 |
1 |
Total |
|
109 |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | JReichard |
| File Modified | 0000-00-00 |
| File Created | 2021-01-20 |