SSB-TB Follow up Worksheet_revised

Information Collection for

The EDN Tuberculosis Follow-Up Worksheet for Newly-Arrived Persons with Overseas Tuberculosis Classifications

OMB Control No. 0920-1238

Expired 06/30/2021

Request for Reinstatement with Change of a Data Collection

May 19, 2022

Supporting Statement B

Contact:

Thomas Daymude

National Center for Emerging and Zoonotic Infectious Diseases

Centers for Disease Control and Prevention

1600 Clifton Road, NE

Atlanta, Georgia 30333

Phone: (470) 553-3567

Email: [email protected]

Table of Contents

1. Respondent Universe and Sampling Methods 2

2. Procedures for the Collection of Information 2

3. Methods to maximize Response Rates and Deal with No Response 2

4. Tests of Procedures or Methods to be Undertaken 2

5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data 3

No statistical methods are used. All data is a descriptive assessment made during medical follow-up of aliens arriving to the US needing follow up for TB infection or possible infection.

1. Respondent Universe and Sampling Methods

Respondents work at state or local health departments and will enter their findings from follow-up assessments of persons with overseas TB classification who resettle in their jurisdictions. All respondents are recommended to enter follow-up information but not required.

2. Procedures for the Collection of Information

The form is available in the secure Electronic Disease Notification (EDN) System for each person with overseas TB classification requiring follow-up. Respondents from state and local health departments have access to resources on how to enter information via the EDN “Help” section of the system. They can enter the follow-up information into the form and submit it electronically to CDC through the EDN System.

3. Methods to Maximize Response Rates and Deal with No Response

Routine quality assurance processes to determine response rates, accuracy, and reliability of information will be conducted routinely and shared with respondents. Annual reports on response rates will be provided to each respondent. Respondents can also assess response rates via the EDN “Report” feature. CDC staff hold routine bi-monthly meetings with an EDN workgroup to assess any issues or suggestions for the system. Additionally, CDC staff review the information provided in the follow-up form to ensure that states are reaching goals for follow up and offering treatment to individuals with latent infection or history of TB disease. Timely follow-up reports to CDC will provide CDC staff with means to effectively and efficiently assess overseas panel physicians’ performance.

4. Tests of Procedures or Methods to be Undertaken

No pre-tests are planned.

5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data

Deborah Lee, MPH Epidemiologist DGMQ/CDC Office: 404-639-0439 Email: [email protected] Drew Posey, MD, MPH Medical Officer DGMQ/CDC Office: 404-639-4440 Email: [email protected] Yecai Liu, MS Mathematical Statistician DGMQ/CDC Office: 404-639-4424 Email: [email protected] Robert Pratt, BS Information Technology Specialist DTBE/CDC Office: 404-639-8529 Email: [email protected] Cynthia Adams Database Administrator DTBE/CDC Office: 404-639-8362 Email: [email protected] Maureen Kolasa, RN, MPH Health Scientist Team Lead DTBE/CDC Office: 404-639-8759 Email: [email protected]

Amanda Dam, MPH Public Health Advisor DGMQ/CDC Office: 404-718-6787 Email: [email protected] Christina Phares, MPH, PhD Epidemiologist DGMQ/CDC Office: 470-269-3404 Email: [email protected] Zanju Wang, MS Health Scientist DGMQ/CDC Office: 404-639-4427 Email: [email protected] Raheem Smith, MPH ORISE Fellow DGMQ/CDC Office: 404-718-4590 Email: [email protected] Rachel Yelk Woodruff, MPH Health Scientist DTBE/CDC Office: 404-639-6018 Email: [email protected]

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