Emergency Epidemic Investigation Data Collections- July 1, 2020 – September 30, 2020

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Change Request 01JAN-31MAR2021.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-04-28	Missing upstream
Appendix 1 Burden Memos.pdf	Supplementary Document	Uploaded 2021-01-21	Repair queued
Appendix 2 Data Collection Forms.pdf	Supplementary Document	Uploaded 2021-01-21	Repair queued
0920-1011 Non-Substantive Change Request Memo.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-01-21	Repair queued
Appendix 2. Data Collection Forms.pdf	Supplementary Document	Uploaded 2020-12-11	Repair queued
Appendix 1. Burden Memos.pdf	Supplementary Document	Uploaded 2020-12-11	Repair queued
0920-1011 Non-Substantive Change Request Memo.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-12-11	Missing upstream
Change Request.Increase Respondents. 11.5.2020 (003).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-12-04	Repair queued
Change Request 8.24.2020.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-09-01	Repair queued
Appendix 2. Data Collection Forms.pdf	Supplementary Document	Uploaded 2020-04-15	Repair queued
Appendix 1. Burden Memos.pdf	Supplementary Document	Uploaded 2020-04-07	Repair queued
0920-1011 Non-Substantive Change Request Memo.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-04-07	Missing upstream
Appendix 1. Burden Memos.pdf	Supplementary Document	Uploaded 2020-02-12	Repair queued
0920-1011 Non-Substantive Change Request Memo.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-02-12	Repair queued
EEI_GenICR_SupSta A_FINAL.docx	Supporting Statement A	Uploaded 2020-01-15	Missing upstream
EEI GenICR_Sup St B.docx	Supporting Statement B	Uploaded 2020-01-15	Missing upstream
EEI GenICR 0920-13ZJ_App 6_Online Survey Case Finding Questionnaire_11-06-2013.docx	Supplementary Document	Uploaded 2013-11-20	Repair queued
EEI GenICR 0920-13ZJ_App 5_Phone Interview Questionnaire Patient_11-06-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Missing upstream
EEI GenICR 0920-13ZJ_App 4_Q Fever Person Interview Questionnaire_11-14-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Missing upstream
EEI GenICR 0920-13ZJ_App 3 _Hantav Pulm Synd Questionnaire_11-14-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Available
EEI GenICR 0920-13ZJ_App 2_GBS Case Questionnaire_11-14-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Repair queued
EEI GenICR 0920-13ZJ_App 1_Chart Abstract Form_11-14-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Repair queued
EEI GenICR 0920-13ZJ_Attach H_Biospecimen Storage Consent_11-06-2013_Subm.docx	Supplementary Document	Uploaded 2013-11-20	Repair queued
Attach G _Emer Epi Invest_IRB Letter.pdf	Supplementary Document	Uploaded 2019-11-20	Repair queued
EEI Gen ICR 0920-13ZJ_Attach F_Epi Invest SORN_11-06-2013.doc	Supplementary Document	Uploaded 2013-11-20	Repair queued
Attach E _Burden Memo.docx	Supplementary Document	Uploaded 2016-10-13	Missing upstream
Attach D_Request for Approval.docx	Supplementary Document	Uploaded 2019-11-20	Repair queued
Attach C_ Steps Conduct Emer Epi Invest.docx	Supplementary Document	Uploaded 2016-10-13	Repair queued
60dy191011 Published_2019-19019.pdf	Supplementary Document	Uploaded 2020-01-15	Repair queued
EEI GenICR_0920-13ZJ_Attach A_Auth Legis Emer Epi Invest_11-06-2013_Subm.pdf	Supplementary Document	Uploaded 2013-11-20	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form

ICR Details

OMB Control No: 0920-1011	ICR Reference No: 202104-0920-009
Status: Received in OIRA	Previous ICR Reference No: 202101-0920-012
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1011-21EN
Title: Emergency Epidemic Investigation Data Collections- July 1, 2020 – September 30, 2020
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/28/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	01/31/2023	01/31/2023
Responses	805,759	805,759
Time Burden (Hours)	402,874	402,874
Cost Burden (Dollars)	0	0

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Abstract: This non-substantive change request is submitted to comply with the stated procedures in the approved EEI Generic ICR package (as specified in point 5 under Special Circumstances Relating to the Guidelines of 5 CFR 1320.5), “CDC maintains a library of data collection instruments that includes all final data collection instruments conducted under this generic ICR. This library and the updated burden numbers based on data collected via the “Burden Memo” are submitted to OMB quarterly as a non-substantive change to the generic ICR.” In this quarter there were no EEIs to report, so this non-substantive change request has zero burden to report from January 1, 2021 to March 31, 2021.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: PHSA
  

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 46535	09/04/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 66908	12/06/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	805,759	805,759	0	0	0	0
Annual Time Burden (Hours)	402,874	402,874	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This non-substantive change request includes reporting for data collection completed from July 1, 2020 to September 30, 2020. The actual burden for the one investigation completed during this quarter was 1,414 respondents and 1,081 burden hours.

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Annual Cost to Federal Government: $1,586,352

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? 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: 04/28/2021

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