Information Collection on Cause-Specific Absenteeism in Schools

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1039 ORCHARDS HOUSEHOLD STUDY FORM B	Form	New	Available
Form 0920-1039 Household Component - Household Study Form B (Day 0, 7, and 14)	Form	New	Repair queued
Form 0920-1039 ORCHARDS HOUSEHOLD STUDY FORM B	Form	Modified	Repair queued
Form 0920-1039 Household Component - Household Study Form B	Form	Modified	Repair queued
Form 0920-1039 ORCHARDS HOUSEHOLD STUDY FORM A	Form	Modified	Available
Form 0920-1039 Student Component - Household Study Form A	Form	Modified	Repair queued
Acute Respiratory Infection and Influenza Surveillance Form	Form	Modified	Available
18)	Form	Modified	Repair queued
Form 0920-1039 ORCHARDS Screening Form	Form and Instruction	Modified	Available
Form 0920-1039 Student Component - ORCHARDS Telephone Screen	Form and Instruction	Modified	Repair queued
OMB changes document with consents 8.17.21.docx	Supplementary Document	Uploaded 2021-08-26	Repair queued
20200406 REDCap PIA signed.pdf	Supplementary Document	Uploaded 2021-08-16	Repair queued
Att C3 - consent_assent forms.docx	Supplementary Document	Uploaded 2021-08-16	Repair queued
Att C3a Assent 7 - 14.pdf	Supplementary Document	Uploaded 2021-08-16	Repair queued
Att C1 - School District Approval Letter.pdf	Supplementary Document	Uploaded 2021-08-16	Repair queued
Att. D4 - orchards newspaper ad.pdf	Supplementary Document	Uploaded 2017-10-27	Repair queued
Att D2 - Recruitment Flyer_teenager.docx	Supplementary Document	Uploaded 2021-08-16	Repair queued
Att D3 - Recruitment Flyer_kid.docx	Supplementary Document	Uploaded 2021-08-16	Repair queued
Att D1 - participant packet.pdf	Supplementary Document	Uploaded 2021-08-02	Repair queued
Att C5 IRB Approval_22Jan2021.pdf	Supplementary Document	Uploaded 2021-08-16	Repair queued
Att C6 -CDC IRB Deferral.pdf	Supplementary Document	Uploaded 2021-08-16	Repair queued
Published 60-day FRN.pdf	Supplementary Document	Uploaded 2021-08-02	Repair queued
Non-Substantive Change 0920-1039 ARI and Influenze Survillance Form.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-12-28	Repair queued
SupStaA_WI School Absenteeism_final.docx	Supporting Statement A	Uploaded 2021-08-16	Repair queued
Att A3- Sec 301 PHSA (42 USC 241).pdf	Supplementary Document	Uploaded 2021-08-02	Repair queued
Att A2- CFR part 70.pdf	Supplementary Document	Uploaded 2021-08-02	Repair queued
Att A1- Sec 361 PHSA (42 USC 264).pdf	Supplementary Document	Uploaded 2021-08-02	Repair queued
SupStaB_WI School Absenteeism_final.docx	Supporting Statement B	Uploaded 2021-08-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
248917	Household Component - Biospecimen Collection (Day 0, 7 and 14)	Instruction	New
248916	Household Component - Household Study Form B (Day 0, 7, and 14)	Form	New	ORCHARDS HOUSEHOLD STUDY FORM B
248916	Household Component - Household Study Form B (Day 0, 7, and 14)	Form	New
248914	Household Component - Biospecimen Collection (Day 7 and 14)	Instruction	New
228818	Household Component - Household Study Form B	Form	Modified	ORCHARDS HOUSEHOLD STUDY FORM B
228818	Household Component - Household Study Form B	Form	Modified
228817	Student Component - Biospecimen Collection (Day 0)	Instruction	Modified
228816	Student Component - Household Study Form A	Form	Modified	ORCHARDS HOUSEHOLD STUDY FORM A
228816	Student Component - Household Study Form A	Form	Modified
212417	Student Component- Acute Respiratory Infection and Influenza Surveillance Form (Parents of >18)	Form	Modified	Acute Respiratory Infection and Influenza Surveillance Form
212417	18)	Form	Modified
212402	Student Component - ORCHARDS Telephone Screen	Form and Instruction	Modified	ORCHARDS Screening Form
212402	Student Component - ORCHARDS Telephone Screen	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1039	ICR Reference No: 202108-0920-002
Status: Historical Active	Previous ICR Reference No: 201710-0920-016
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1039
Title: Information Collection on Cause-Specific Absenteeism in Schools
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/17/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/15/2021
Terms of Clearance: CDC should improve their monitoring of expiring information collections to avoid unnecessary reinstatement requests and potential PRA violations.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2025	36 Months From Approved
Responses	4,605	0	0
Time Burden (Hours)	434	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Centers for Disease Control and Prevention (CDC), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Global Migration and Quarantine (DGMQ), requests approval of a new information collection on Cause-Specific Absenteeism in Schools. This information collection aims to improve our understanding of the role of cause-specific absenteeism in schools in predicting community-wide influenza transmission, and will be used to strengthen the evidence-base of CDC's Pre-Pandemic Guidance prior to next pandemic. This revision adds information and biospecimen collection from household members of students absent from school because of ILI. In the currently approved project, information and biospecimens are only collected from students. Due to the pandemic, changes were made to the protocol. We have added SARS-CoV-2 testing and added screening questions that will allow participants to enroll if they have COVID like symptoms. We also added one addition specimen and data collection point on Day 14 to the household study.

---

Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Research and Investigations Generally
   US Code: 42 USC SubChapter F Name of Law: Quarantine, Inspection, Licensing
   US Code: 42 USC 264 Name of Law: Regulations to Control Communicable Diseases
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 12003	03/01/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 51159	09/14/2021
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Household Component - Biospecimen Collection (Day 0, 7 and 14)
Household Component - Biospecimen Collection (Day 7 and 14)
Household Component - Household Study Form B	0920-1039	ORCHARDS HOUSEHOLD STUDY FORM B
Household Component - Household Study Form B (Day 0, 7, and 14)	0920-1039	ORCHARDS HOUSEHOLD STUDY FORM B
Student Component - Biospecimen Collection (Day 0)
Student Component - Household Study Form A	0920-1039	ORCHARDS HOUSEHOLD STUDY FORM A
Student Component - ORCHARDS Telephone Screen	0920-1039	ORCHARDS Screening Form
Student Component- Acute Respiratory Infection and Influenza Surveillance Form (Parents of >18)	NA	Acute Respiratory Infection and Influenza Surveillance Form

---

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	4,605	0	0	840	780	2,985
Annual Time Burden (Hours)	434	0	0	-50	65	419
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: Since obtaining OMB approval in December 2014, 2,466 OSD students with influenza-like illness (ILI) have been enrolled in the study. Of them, 68% were positive for at least one respiratory pathogen included in the PCR panel that tests for presence of 17 common respiratory viruses, and 29% of students were found to be positive for influenza. It was demonstrated that absenteeism due to ILI in school children was highly correlated with PCR-confirmed influenza in enrolled school children, and medically-attended influenza in the surrounding community, suggesting that ILI-specific school absenteeism can be considered a useful tool for predicting influenza outbreaks in the surrounding community. For all six seasons, (2014/15--2019/20) significant, positive cross-correlations were achieved for absenteeism due to illness (a-I) and absenteeism due to ILI (a-ILI) at least 14 days in advance of MAI. Further observations during influenza seasons caused by other influenza strains are needed to make these findings more robust.

---

Annual Cost to Federal Government: $608,479

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? Yes

---

Common Form ICR:  No

---

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: 09/15/2021

---