Aggregate Reports for Tuberculosis Program Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)	Form and Instruction	Modified	Available
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual	Form and Instruction	Removed	Available
Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)	Form and Instruction	Removed	Available
Targeted Testing and Treatment for Latent Tuberculosis Infection	Form and Instruction	Modified	Available
Follow-up and Treatment for Contacts to TB Cases - Managers- manual	Form and Instruction	Removed	Available
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual	Form and Instruction	Removed	Available
SS B.docx	Supporting Statement B	Uploaded 2019-07-25	Available
SS A_clean_12032019.docx	Supporting Statement A	Uploaded 2019-12-03	Available
Att 7 Awardees.docx	Supplementary Document	Uploaded 2019-07-25	Available
Att 6_PIA_ARPE approved 10 Jun 2019.pdf	Supplementary Document	Uploaded 2019-07-25	Available
Att 5_Aggregate Reports for Program Evaluation Training Manual and Users Guide.pdf	Supplementary Document	Uploaded 2019-07-25	Available
Att 4_NCHHSTP Project Determination Form.pdf	Supplementary Document	Uploaded 2019-07-25	Available
Att 2_60-Day FRN_0920-0457.pdf	Supplementary Document	Uploaded 2019-07-25	Available
Att 1_Legislative Authority.pdf	Supplementary Document	Uploaded 2019-07-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6884	Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)	Form and Instruction	Modified
178821	0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual	Form and Instruction	Removed
178819	Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)	Form and Instruction	Removed
178818	Targeted Testing and Treatment for Latent Tuberculosis Infection	Form and Instruction	Modified
178817	Follow-up and Treatment for Contacts to TB Cases - Managers- manual	Form and Instruction	Removed
178815	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual	Form and Instruction	Removed

ICR Details

OMB Control No: 0920-0457	ICR Reference No: 201906-0920-013
Status: Historical Active	Previous ICR Reference No: 201609-0920-016
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0457
Title: Aggregate Reports for Tuberculosis Program Evaluation
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: 12/03/2019
	Date Received in OIRA: 08/08/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	36 Months From Approved	02/29/2020
Responses	134	0	272
Time Burden (Hours)	268	0	226
Cost Burden (Dollars)	7,234	0	0

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Abstract: This is a request for revision of a previously approved collection. Respondents are 67 state and local health departments with federal cooperative agreements for tuberculosis control. Respondents submit two annual reports to CDC with de-identified summary information concerning the follow-up and treatment of contacts to tuberculosis cases, and targeted testing and treatment for latent tuberculosis infection. The reports allow CDC to estimate the epidemiological status of tuberculosis, monitor the workload of tuberculosis prevention, and evaluate tuberculosis control programs.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service - Research and Investigations generally
  

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 16859	04/23/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 38989	08/08/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)	n/a	Follow-up and Treatment of Contacts to Tuberculosis Cases
Targeted Testing and Treatment for Latent Tuberculosis Infection	n/a	Targeted Testing and Treatment for Latent Tuberculosis Infection
Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)	None	Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual	None	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual
Follow-up and Treatment for Contacts to TB Cases - Managers- manual	None	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - Program Managers- (Manual)
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual	None	Targeted Testing and Treatment for Latent TB Infection - Program Managers- (manual)

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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	134	272	0	-138	0	0
Annual Time Burden (Hours)	268	226	0	42	0	0
Annual Cost Burden (Dollars)	7,234	0	0	7,234	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: In this Revision, the number of cooperative agreement awardees decreases from 68 to 67. Three types of questions are added to each form (nativity, diagnostic tests, and drug regimens). Manual data compilation methods are being discontinued and all information collection will be conducted electronically. The ICs for manual methods have been deleted. The burden table has been reformatted to clarify each awardee's total estimated annual burden per report (2 hours).

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Annual Cost to Federal Government: $106,721

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.     No

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: 08/08/2019

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