Justification for Adding CureTB Partner Feedback Surveys (March 2022)

Request for Nonmaterial/Non-substantive change

Tuberculosis Data from Referring Entities to CureTB

(OMB Control No. 0920-1186)

Expires 02/29/2024

Program Contact

Chip Daymude

Office of Policy, Analysis and Strategy

National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)

Centers for Disease Control and Prevention

1600 Clifton Road NE, MS H16-5

Atlanta, Georgia 30329-4027

Phone: 404.718.7103

Email: [email protected]

Submission Date: March 17, 2022

Circumstances of Change Request for OMB 0920-1186

The Centers for Disease Control and Prevention (CDC), Division of Global Migration and Quarantine (DGMQ) requests two nonmaterial/non-substantive changes of the currently approved Information Collection Request for Tuberculosis Data from Referring Entities to CureTB, OMB Control No. 0920-1186, expiration date: 02/29/2024.

Requests

Supplemental CureTB Program Partner Satisfaction Assessment (Attachment A1 and A2)

As part of CDC’s responsibility to prevent the introduction, transmission, and spread of communicable disease, CDC DGMQ continues to collect information from entities that partner with CureTB for continuity of care services to protect the U.S. public by preventing the global development of drug resistance and reducing disease transmission and importation of infectious tuberculosis. CDC is requesting the approval of two CureTB Program Partner Satisfaction Assessment Questionnaires (Attachments A1 and A2) to include an evaluation component to current program processes.

The assessment forms will confirm if referring partners are receiving communications as intended, are able to contact program personnel easily, and gauge partner satisfaction with referral notification processes. The questionnaires are unique, will be used at two separate times in the referral process and be delivered through email as a survey link leading to an anonymous survey in the REDCap platform. The collection of partner feedback enables CureTB to identify gaps in program processes and implement needed corrections to ensure the continuity of care for patients and assure continued program effectiveness. Currently, CureTB does not use any methods to capture the collection of receipt of program notifications nor partner ease of use and satisfaction with existing program processes. The continuous expansion and use of the CureTB Program requires certain processes be evaluated. The Supplemental CureTB Program Partner Satisfaction Assessment Questionnaire will guide CureTB in making appropriate program improvements to best serve referring partners. The Questionnaires will not be used to collect demographic or clinical information, rather, will ask the referring partners about their experience separately from the other forms already used for demographic and clinical information for each patient.

Burden

Two voluntary (anonymous) questionnaires will be available as online surveys and sent to partners in notification emails.

• CureTB Program Partner Satisfaction Assessment Questionnaire 1 will be used when CureTB notifies partners that a patient referral has been received.

• CureTB Program Partner Satisfaction Assessment Questionnaire 2 will be used when CureTB send partners a notification email with final outcome information at the end of the referred patient’s treatment.

Since the burden for each of those questionnaires is 100 and 50 respectively, CDC estimates the number of respondents for the Supplemental Partner Satisfaction Assessment Questionnaires will be 150. CDC estimates answering these questions will take 10 and 6 minutes respectively, leaving the total burden hours for these supplemental questions 22 for 150 respondents.

This non-substantive change results in a total burden under 0920-1186 of 1,103 hours, a 22 hour increase from the previously calculated total burden of 1,081.

Respondent	Form	Number of Respondents	Number of Responses per Respondent	Average Burden per Response (in minutes)	Total Burden Hours
Local Health Departments in the United States	CureTB Program Partner Satisfaction Assessment Questionnaire 1	100	1	10/60	17
Local Health Departments in the United States	CureTB Program Partner Satisfaction Assessment Questionnaire 2	50	1	6/60	5
Total					22

Privacy

There is no PII collected as part of the information collection in either of the CureTB Program Partner Satisfaction Assessment Questionnaires.

Attachments

Attachment A1.a. – Supplemental CureTB Program Partner Satisfaction Assessment Questionnaire 1

Attachment A1.b. Supplemental CureTB Program Partner Satisfaction Assessment Questionnaire 1 - Online Survey Preview-no skip logic

Attachment A2.a. – Supplemental CureTB Program Partner Satisfaction Assessment Questionnaire 2

Attachment A2.b. Supplemental CureTB Program Partner Satisfaction Assessment Questionnaire 2 - Online Survey Preview-no skip logic

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