Emerging Infections Program Tracking of SARS-CoV-2 Infections among Healthcare Personnel

Forms and Documents

Document Name	Status
Form 0920-20MZ EIP or State Health Dept Employee Form and Instruction	New
Form 0920-20MZ Occupational Health Nurses at Healthcare Facilities (no form) Form	New
Form 0920-20MZ Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2 Form and Instruction	New
Emergency Review Request Memo - EIP Tracking of SARS-CoV-2 Infections among HCP_signed.pdf Supplementary Document	2020-04-20
Att5_Research Determination Form.pdf Supplementary Document	2020-04-20
Attachment3_Protocol omb_20200422.docx Supplementary Document	2020-04-28
Att1_Authorizing Legislation.docx Supplementary Document	2020-04-20
SSB_Tracking of HCP with COVID-19 omb_20200422.docx Supporting Statement B	2020-04-28
SSA_Tracking of HCP with COVID-19 omb_20200422.docx Supporting Statement A	2020-04-28

IC Document Collections

IC ID	Document Title	Status
241587	EIP or State Health Dept Employee Form and Instruction	New
241437	Occupational Health Nurses at Healthcare Facilities (no form) Form	New
241429	Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2 Form and Instruction	New

ICR Details

OMB Control No: 0920-1296	ICR Reference No: 202004-0920-012
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-20MZ
Title: Emerging Infections Program Tracking of SARS-CoV-2 Infections among Healthcare Personnel
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 04/28/2020
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/29/2020
	Date Received in OIRA: 04/28/2020
Terms of Clearance: Approved consistent with the understanding that all discussions and publications will clearly describe the limitations of the data, including its limited generalizability.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	6 Months From Approved
Responses	5,320	0	0
Time Burden (Hours)	2,310	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of this information collection is to inform guidance for healthcare facilities to protect the healthcare workforce from the effects of COVID-19, the disease caused by the novel coronavirus SARS-CoV-2. The healthcare workforce is a critical asset during this pandemic. Protecting healthcare personnel (HCP) is an essential component of protecting patients.The data collected from this project will be used to inform guidance for healthcare facilities to protect HCP.

Emergency Justfication: The CDC, in collaboration with Emerging Infections Program (EIP) sites, plans to implement a system to track and assess risk factors for SARS-CoV-2 infections among HCP. The objectives are to: 1) determine the extent of COVID-19 among HCP working in U.S. healthcare facilities; 2) describe characteristics of HCP exposed to or infected with SARS-CoV-2, including clinical activities and personal protective equipment use; and 3) compare exposures and other characteristics of HCP cases and exposed HCP that do not become cases to identify risk factors or protective factors for COVID-19. The information must be collected as soon as possible and this information is essential to CDC’s and state and local health departments’ ability, as well as that of healthcare facilities, to effectively address the national public health crisis caused by the novel coronavirus SARS-CoV-2 (COVID-19). As rates of infection and resulting hospitalizations continue to rise across the nation, healthcare personnel (HCP) are facing significant risk of contracting SARS-CoV-2 during their interactions with patients with suspected or confirmed COVID-19 or patients with unrecognized infection. Understanding the factors that place HCP at greater risk for infection as well as factors that may reduce risk is critical to the nation’s effective pandemic response. The U.S. healthcare workforce is among our most vital assets, and protecting our workforce also protects patients. CDC cannot reasonably comply with the normal clearance procedures due to the public harm that could escalate if routine processing of this request is required. CDC requests authorization to use a previously OMB-approved form (OMB Control No. 0920-1011, expiration date 04/23/2020) with minor modifications for 180 days to enable CDC and EIP sites to proceed immediately with tracking and interviewing of HCP infected with or exposed to SARS-CoV-2. Absent this emergency approval, CDC will not be able to implement Emerging Infections Program Tracking of SARS-CoV-2 Infections among Healthcare Personnel with the urgency that is required.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: US 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

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
EIP or State Health Dept Employee	0920-20MZ	EIP or State Health Dept Employee
Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2	0920-20MZ	Assessment of Healthcare Personnel
Occupational Health Nurses at Healthcare Facilities (no form)	0920-20MZ	Occupational Health Nurses at Healthcare Facilities

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ICR Summary 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	5,320	0	0	5,320	0	0
Annual Time Burden (Hours)	2,310	0	0	2,310	0	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: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $5,527

Does this IC contain surveys, censuses, or employ statistical methods? No

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? Yes

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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: 04/28/2020

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