National Syndromic Surveillance Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0824 Onboarding Information Collection	Form and Instruction	New	Available
Form 0920-0824 Data Sharing Permissions	Form and Instruction	Modified	Available
Form 0920-0824 Registration	Form and Instruction	Modified	Available
Att 10 - Expiration Date Screenshot.pdf	Supplementary Document	Uploaded 2019-05-14	Available
Att 9 - Research Determination.pdf	Supplementary Document	Uploaded 2019-05-14	Available
Att 8 - NSSP PIA.pdf	Supplementary Document	Uploaded 2019-05-14	Available
Att 7 - List of Experts Consulted.pdf	Supplementary Document	Uploaded 2019-05-14	Available
Att 3 - Security Letter.pdf	Supplementary Document	Uploaded 2019-05-14	Available
Att 2a - 60-day FRN.pdf	Supplementary Document	Uploaded 2019-05-14	Available
Att 1 - Authorizing Legislation.pdf	Supplementary Document	Uploaded 2019-05-14	Available
0920-0824 NSSP Supporting Statement A 07182019.docx	Supporting Statement A	Uploaded 2019-07-19	Available
0920-0824 NSSP Supporting Statement B 04122019.docx	Supporting Statement B	Uploaded 2019-05-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
236076	Onboarding Information Collection	Form and Instruction	New
221451	Data Sharing Permissions	Form and Instruction	Modified
190575	Registration	Form and Instruction	Modified
190574	Recruitment	Other-Process	Removed

ICR Details

OMB Control No: 0920-0824	ICR Reference No: 201904-0920-007
Status: Active	Previous ICR Reference No: 201510-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0824
Title: National Syndromic Surveillance Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/22/2019
	Date Received in OIRA: 05/28/2019
Terms of Clearance: Previous terms continue: If non-substantive change requests are employed to amend the types of syndromic surveillance data elements received from state and local health departments in this information collection, the agency will submit a non-substantive change request memo to OMB describing the new data elements, the necessity for inclusion, and how the data will be used.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved	07/31/2019
Responses	1,160	0	240
Time Burden (Hours)	195	0	50
Cost Burden (Dollars)	0	0	0

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Abstract: The National Syndromic Surveillance Program (previously called BioSense) supports the sharing and use of high-quality syndromic surveillance data for situational awareness and to identify, monitor, investigate, and respond to hazardous events and disease outbreaks at local, regional and national levels. CDC, state and local public health departments, DoD, VA, and other collaborators participating in NSSP submit healthcare data to the BioSense platform through automated electronic health information exchange. The key change in this Revision includes a request for approval to receive onboarding data from state, local and territorial public health departments about healthcare facilities in their jurisdictions. Data are no longer collected to recruit state, local, and territorial public health departments since interested health departments approach the NSSP program to participate.

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Authorizing Statute(s): PL: Pub.L. 113 - 115 1 Name of Law: Pandemic and All-Hazards Preparedness Reauthorization Act of 2013
   PL: Pub.L. 109 - 417 1 Name of Law: Pandemic and All-Hazards Preparedness Act
   US Code: 42 USC 247b Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 10315	03/20/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 24152	05/24/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Recruitment
Registration	0920-0824	Registration Screenshot
Data Sharing Permissions	0920-0824	Data Sharing Screenshot
Onboarding Information Collection	0920-0824	Onboarding Screenshot

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,160	240	0	940	-20	0
Annual Time Burden (Hours)	195	50	0	165	-20	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden increased because we added onboarding data collection and the burden for onboarding data collection is larger than the previous burden for recruitment data collection in the previous ICR.

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Annual Cost to Federal Government: $33,300,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/28/2019

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