Pilot Plan for the Interim Local Health Department Strategy for Response, Control, and Prevention of Healthcare Associated Infections (HAI) and Antibiotic Resistance (AR)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
LHD HAI/AR Strategy Pilot Survey Template	Form and Instruction	New	Repair queued
LHD HAI/AR Strategy Pilot Interview Guide Survey	Form and Instruction	New	Repair queued
LHD HAI/AR Strategy Pilot Feedback Form	Form and Instruction	New	Available
Att 5 20220727 RedCap PIA Signed.pdf	Supplementary Document	Uploaded 2022-10-06	Missing upstream
Att 4 HAI AR STARS 0900f3eb81ebc7a6 NR-signed.pdf	Supplementary Document	Uploaded 2022-10-06	Missing upstream
Att 2 Published FRN 2022-13095. 6.17.22.pdf	Supplementary Document	Uploaded 2022-10-06	Repair queued
Att 1 - Section 301 of the Public Health Service Act (42 USC 241) (1).pdf	Supplementary Document	Uploaded 2022-10-06	Repair queued
Supporting Statement B_final.docx	Supporting Statement B	Uploaded 2022-10-06	Repair queued
Supporting Statement A_final.docx	Supporting Statement A	Uploaded 2022-10-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
256307	LHD HAI/AR Strategy Pilot Survey Template	Form and Instruction	New
256305	LHD HAI/AR Strategy Pilot Interview Guide Survey	Form and Instruction	New
256304	LHD HAI/AR Strategy Pilot Feedback Form	Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202210-0920-003
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-22GG
Title: Pilot Plan for the Interim Local Health Department Strategy for Response, Control, and Prevention of Healthcare Associated Infections (HAI) and Antibiotic Resistance (AR)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/12/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	120	0
Time Burden (Hours)	360	0
Cost Burden (Dollars)	0	0

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Abstract: Through piloting the Interim Local Strategy, DHQP aims to understand Local Health Departments (LHDs) experience implementing the strategy and collect their feedback for refinement. A secondary goal of this study is to create a network of LHDs working in HAI and AR activities to learn from one another and share best practices.

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Authorizing Statute(s): US Code: 42 USC 241 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:
	87 FR 36504	06/17/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 61326	10/11/2022
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
LHD HAI/AR Strategy Pilot Feedback Form	n/a	Feedback Form
LHD HAI/AR Strategy Pilot Interview Guide Survey	n/a	Pilot Interview Guide
LHD HAI/AR Strategy Pilot Survey Template	n/a	Pilot Survey Template

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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	120	0	0	120	0	0
Annual Time Burden (Hours)	360	0	0	360	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: $61,895

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? No

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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: 10/12/2022

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