Burden table calculations

Att 16 - Burden Table Calculations.xlsx

National Notifiable Diseases Surveillance System (NNDSS)

Burden table calculations

OMB: 0920-0728

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Overview

Introduction
Definitions
Summary
Diseases
Total Diseases
Data Elements
Total Data Elements
Total Diseases + Data Elements


Sheet 1: Introduction

The purpose of this document is to explain and show how the burden estimates in Table A12A were calculated.
The document includes seven additonal tabs: Defintions, Summary, Diseases, Total Diseases, Data Elements, Total Data Elements, Total Diseases + Data Elements.
Definitions: The Definitions tab includes defintions for concepts used throughout the document including modes of notification, conditions, respondent type, and form description.
Summary: The summary tab is divided into two sections. The first section includes the mode and frequency of case notifcations by type of condition for each respondent type and the second section section includes the average burden per response by mode and frequency of case notification for each respondent type.
Diseases: The Diseases tab includes the burden per response for the one-time addition of one disease (core data elements only).The burden in hours is noted in each row for the addition of one disease for each respondent (except for states where the burden is indicated for all 50 states). The average burden in hours for the one-time addition of one disease is noted for each respondent type in column C. The average burden in hours for the annualized one-time addition of one disease is noted for each respondent type in column D (average burden in hours divided by 3).
Total Diseases: The Total Diseases Tab includes two tables. The first table shows the one-time burden to add one disease to NNDSS and the second table shows the annualized one-time burden (one time burden divided by three) to add one disease to NNDSS.
Data Elements: The Data Elements tab is divided into two sections. The first section includes the burden per response for the one-time addition of each data element by disease and the second section includes the burden per response for the one-time addition of all 107 data elements. The burden in hours is noted in each row for the addition of each of the 107 data elements by disease for each respondent (except for states where the burden is indicated for all 50 states). The average burden in hours for the one-time addition of all 107 data elements is noted for each respondent type in column E. The average burden in hours for the annualized one-time addition of all 107 data elements is noted for each respondent type in column F (average burden in hours divided by 3).
Total Data Elements: The Total Data Elements Tab includes two tables. The first table shows the one time burden to add 107 data elements to NNDSS and the second table shows the annualized one time burden (one time burden divided by three) to add 107 data elements to NNDSS. The annualized burden of all states combined to add the 107 data elements is 150 hours. Of the 107 data elements, none are from new nationally notifiable conditions and new conditions under standardized surveillance. Therefore, 100% of the 150 burden hours are from conditions currently submitted through NNDSS.
Total Diseases + Data Elements: The Total Diseases + Data Elements Tab includes two tables. The first table shows the one-time burden to add 1 disease and 107 data elements to NNDSS and the second table shows the annualized one-time burden (one time burden divided by three) to add 1 disease and 107 data elements to NNDSS. The total annualized one-time burden (in hours) for each respondent type (States, Territories, Freely Associated States, Cities) corresponds to the each line on Table A12A for the one-time addition of diseases and data elements.
4/23/2020

Sheet 2: Definitions

Mode of Notification Definition
Automated
HL7 Electronic case notification messages that use Health Level 7 (HL7) messaging standards
NETSS Electronic case notification messages that use the National Elctronic Telecommunications System for Surveillance (NETSS) flat file format. These messages are not based on industry standards like HL7 messages.
Non Automated
Aggregate data upload through SAMS Aggregate case counts are manually uploaded through Secure Access Management Services (SAMS) which provides users who are outside the CDC firewall with secure access to external-facing CDC applications.
Aggregate data email report Aggregate case counts are manually emailed to CDC as a PDF report.
XML upload to ArboNET Case notification data are manually uploaded online using eXtensible Markup Language (XML) into ArboNET, a national electronic surveillance system for arboviral diseases in the US.
Keyed into Arbonet Case notification data are manually keyed into ArboNET, a national electronic surveillance system for arboviral diseases in the US, using a secure website.


Conditions
STD Sexually Transmitted Diseases
TB Tuberculosis
Arboviral Arboviral Diseases


Respondent Type
States 50 states
Territories American Samoa, Northern Mariana Islands, Guam, U.S. Virgin Islands, and Puerto Rico
Freely Associated States Micronesia, Marshall Islands, Palau
Cities NYC and DC


Form Description
Weekly Automated Incudes the burden incurred by the respondent for sending case notification data to CDC on a weekly basis. Includes automated transmission through National Electronic Telecommunications System for Surveillance (NETSS) messages or Health Level 7 (HL7) electronic messages
Weekly Non-automated Includes the burden incurred by the respondent for sending case counts to CDC on a weekly basis. Includes electronic non-automated transmission (aggregate data uploads, XML uploads, data entry) and non-electronic, non-automated transmission (aggregate email reports)
Weekly NMI Implementation Includes the burden incurred by the respondents to implement the guidelines set forth in message mapping guides (MMGs) to standardize the data content needed for automated HL7 electronic case notification messages.
Annual Includes the burden incurred by the respondent to reconcile the annual case counts and send the reconciled case notification data (automated or non-automated) once per year to CDC.
One time Addition of Diseases and Data Elements Includes the one-time burden incurred by the respondents to add the data elements to their surveillance system and modify their case notification message. In general, a one-time average burden of 30 minutes is incurred for respondents to add up to 10 additional data elements to their surveillance system and a one-time average burden of 30 minutes is incurred for respondents to modify their electronic case notification message to accommodate up to 10 additional data elements. A one-time average burden of 15 minutes is incurred for respondents to incorporate data for one new disease/condition (with core only and no disease-specific date elements) into their electronic case notification message.

Sheet 3: Summary


Mode and Frequency of Case Notifcations by Type of Condition for Each Respondent Type






Average Burden Per Response by Mode and Frequency of Case Notification for each Respondent Type




STD STD TB TB Arboviral Arboviral Other Conditions Other Conditions





Mode of Notification: (1) Automated (HL7 or NETSS); (2) Non-automated (aggregate data upload through SAMS) Frequency: Weekly, Quarterly, Annually Mode of Notification: Automated (HL7) Frequency; Weekly, Annually Mode of Notification: (1) Automated (HL7); (2) Non-automated (XML upload to ArboNET, or keyed into ArboNET) Frequency: Weekly, Annually Mode of Notification: (1) Automated (HL7 or NETSS); (2) Non-automated aggregate data email report Frequency: Weekly, Annually Average Burden Per Response (in hours): Weekly (Automated) Average Burden Per Response (in hours): Weekly, Quarterly (Non-automated) Average Burden Per Response (in hours): Weekly (NMI Implementation) Average Burden Per Response (in hours): Annual Average Burden Per Response (in hours): One-time Addition of Diseases and Data Elements
States (50) Automated (HL7 or NETSS) Weekly, Annually Automated (HL7) Weekly, Annually 15 Automated HL7
35 Non-automated
(8 XML upload to ArboNET, 27 keyed into ArboNET)
Weekly, Annually Automated HL7 Weekly, Annually 20/60 2 4 75 2
Territories (5) Non-automated (aggregate data upload through SAMS) Weekly, Quarterly, Annually Automated (HL7) Weekly, Annually Non-automated (XML upload to ArboNET, keyed into ArboNET Weekly, Annually Non-automated aggregate data email report Weekly, Annually 20/60 20/60 4 5 2
American Samoa Non automated (aggregate data upload through SAMS) Quarterly, Annually Automated (HL7) Weekly, Annually keyed into ArboNET Weekly, Annually N/A N/A




Northern Mariana Islands Non automated (aggregate data upload through SAMS) Quarterly, Annually Automated (HL7) Weekly, Annually N/A N/A N/A N/A




Guam Non automated (aggregate data upload through SAMS) Quarterly, Annually Automated (HL7) Weekly, Annually keyed into ArboNET Weekly, Annually Non automated aggregate data email report Weekly, Annually




U.S. Virgin Islands Non automated (aggregate data upload through SAMS) Quarterly, Annually Automated (HL7) Weekly, Annually XML upload to ArboNET Weekly, Annually N/A N/A




Puerto Rico automated (NETSS) Weekly, Annually Automated (HL7) Weekly, Annually XML upload to ArboNET Weekly, Annually automated (NETSS) Weekly, Annually




Freely Associated States (3)


Weekly, Annually Non-automated (XML upload to ArboNET, keyed into ArboNET Weekly, Annually N/A N/A 20/60 20/60 N/A 5 2
Micronesia Non automated (aggregate data upload through SAMS) quarterly, annually Automated (HL7) Weekly, Annually XML upload to ArboNET Weekly, Annually N/A N/A




Marshall Islands Non automated (aggregate data upload through SAMS) quarterly, annually Automated (HL7) Weekly, Annually keyed into ArboNET Weekly, Annually N/A N/A




Palau Non automated (aggregate data upload through SAMS) quarterly, annually Automated (HL7) Weekly, Annually keyed into ArboNET Weekly, Annually N/A N/A




Cities* (2)


Weekly, Annually keyed into ArboNET Weekly, Annually Automated (HL7) Weekly, Annually 20/60 2 4 75 2
NYC Automated HL7 Weekly, Annually Automated (HL7) Weekly, Annually keyed into ArboNET Weekly, Annually Automated (HL7) Weekly, Annually




DC Automated HL7 Weekly, Annually Automated (HL7) Weekly, Annually keyed into ArboNET Weekly, Annually Automated (HL7) Weekly, Annually



















Sheet 4: Diseases


Burden Per Response for the One-time Addition of One Disease Burden Per Response for the One-time Addition of One Disease

Blastomycosis Average Burden Per Response (in hours): One-time Addition of One Disease Average Burden Per Response (in hours): Annualized One-time Addition of One Disease
States (50) 15/60 15/60 5/60
Territories (5)

5/60
American Samoa 15/60 15/60
Northern Mariana Islands 15/60 15/60
Guam 15/60 15/60
U.S. Virgin Islands 15/60 15/60
Puerto Rico 15/60 15/60
Freely Associated States (3)
15/60 5/60
Micronesia 15/60 15/60
Marshall Islands 15/60 15/60
Palau 15/60 15/60
Cities* (2)
15/60 5/60
NYC 15/60 15/60
DC 15/60 15/60

Sheet 5: Total Diseases

One Time Burden to Add 1 Disease to NNDSS (Core data elements only)



Respondents Number of Respondents Number of Responses per Respondent Average Burden Per Response (in hours): One-time Addition of All Diseases
States 50 1 15/60
Territories 5 1 15/60
Freely Associated States 3 1 15/60
Cities 2 1 15/60










Annualized One Time Burden to Add 1 Disease to NNDSS (Core data elements only)



Respondents Number of Respondents Number of Responses per Respondent Average Burden Per Response (in hours): Annualized One-time Addition of All Diseases Total Annualized One-Time Burden (in hours)
States 50 1 5/60 4
Territories 5 1 5/60 1
Freely Associated States 3 1 5/60 1
Cities 2 1 5/60 1
Total




Sheet 6: Data Elements


Burden Per Response for the One Time Addition of Data Elements (107)


Burden Per Response for the One-time Addition of Data Elements (107) by Disease

CO Poisoning: 45 Data Elements STD (not congenital): 14 Data Elements Congenital Syphilis: 2 Data Elements COVID 19: 46 Data Elements Average Burden Per Response (in hours): One-time Addition of All Data Elements Average Burden Per Response (in hours): Annualized One-time Addition of All Data Elements
States (50) 5 2 1 5 13 4
Territories (5)



13 4
American Samoa 5 2 1 5 13
Northern Mariana Islands 5 2 1 5 13
Guam 5 2 1 5 13
U.S. Virgin Islands 5 2 1 5 13
Puerto Rico 5 2 1 5 13
Freely Associated States (3)



13 4
Micronesia 5 2 1 5 13
Marshall Islands 5 2 1 5 13
Palau 5 2 1 5 13
Cities* (2)



13 4
NYC 5 2 1 5 13
DC 5 2 1 5 13








Sheet 7: Total Data Elements

One-Time Burden to Add 107 Data Elements to NNDSS



Respondents Number of Respondents Number of Responses per Respondent Average Burden Per Response (in hours): One-time Addition of All Data Elements
States 50 1 4
Territories 5 1 4
Freely Associated States 3 1 4
Cities 2 1 4
Total








Annualized One-Time Burden to Add 107 Data Elements to NNDSS



Respondents Number of Respondents Number of Responses per Respondent Average Burden Per Response (in hours): Annualized One-time Addition of All Data Elements Total Annualized One-Time Burden (in hours)
States 50 1 2 100
Territories 5 1 2 10
Freely Associated States 3 1 2 6
Cities 2 1 2 4
Total


120

Sheet 8: Total Diseases + Data Elements

One Time Burden to Add 1 Disease and 107 Data Elements to NNDSS



Respondents Number of Respondents Number of Responses per Respondent Average Burden Per Response (in hours): Annualized One-time Addition of All Diseases and Data Elements Total One-Time Burden (in hours)
States 50 1 15/60 + 4 = 5 250
Territories 5 1 15/60 + 4 =5 25
Freely Associated States 3 1 15/60 +4 = 5 15
Cities 2 1 15/60 + 4 = 5 10
Total








Annualized One Time Burden to Add 1 Disease and 107 Data Elements to NNDSS



Respondents Number of Respondents Number of Responses per Respondent Average Burden Per Response (in hours): Annualized One-time Addition of All Diseases and Data Elements Total Annualized One-Time Burden (in hours)
States 50 1 5/60 +2 =3 150
Territories 5 1 5/60 +2 =3 15
Freely Associated States 3 1 5/60 +2 =3 9
Cities 2 1 5/60 +2 =3 6
Total



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