[NCEH] Asthma Information Reporting System (AIRS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0853 HD Reporting Form MAY2023	Form and Instruction	Modified	Available
Form 0920-0853 ED Visits Reporting Form MAY2023	Form and Instruction	Modified	Available
Form 0920-0853 PM Reporting Tool MAY2023	Form and Instruction	Modified	Available
Form 0920-0853 Analysis and Use of Core Data Sets	Form and Instruction	Modified	Repair queued
Att10_RDF.pdf	Supplementary Document	Uploaded 2023-05-16	Repair queued
Att9_PIA.pdf	Supplementary Document	Uploaded 2023-05-16	Repair queued
Att3_List of Funded Recipients.docx	Supplementary Document	Uploaded 2023-05-16	Repair queued
Att2 60-day FRN AIRS.pdf	Supplementary Document	Uploaded 2023-05-16	Repair queued
1 - SSB_AIRS Extension OMB 2023.docx	Supporting Statement B	Uploaded 2023-05-16	Repair queued
1 - SSA_AIRS Extension OMB 2023.docx	Supporting Statement A	Uploaded 2023-05-16	Repair queued
Att3d1a_AIRS Instructions_HD_ED_Data_tracked changes_OMB_ae20200429.docx	Supplementary Document	Uploaded 2020-05-04	Repair queued
Att10_RDF.pdf	Supplementary Document	Uploaded 2020-03-02	Repair queued
Att9_PIA.pdf	Supplementary Document	Uploaded 2020-03-02	Repair queued
Att5b_PM Reporting Tool_screenshots.pdf	Supplementary Document	Uploaded 2020-03-02	Repair queued
Att4_NOFO EH19-1902.pdf	Supplementary Document	Uploaded 2020-03-02	Repair queued
Att3d2a_AIRS Instructions_HD_ED_HowtoDocSharing _tracked changes.docx	Supplementary Document	Uploaded 2019-04-04	Repair queued
Att3d2 _AIRS Instructions_HD_ED_HowtoDocSharing_clean.docx	Supplementary Document	Uploaded 2019-04-04	Repair queued
Att3d1a_AIRS Instructions_HD_ED_Data_tracked changes.docx	Supplementary Document	Uploaded 2019-04-04	Repair queued
Att1b_42USC247b.pdf	Supplementary Document	Uploaded 2019-04-04	Repair queued
Att1a_42USC241.pdf	Supplementary Document	Uploaded 2019-04-04	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
240167	Analysis and Use of Core Data Sets	Form and Instruction	Modified	HD Reporting Form MAY2023
240167	Analysis and Use of Core Data Sets	Form and Instruction	Modified	ED Visits Reporting Form MAY2023
240167	Analysis and Use of Core Data Sets	Form and Instruction	Modified	PM Reporting Tool MAY2023
240167	Analysis and Use of Core Data Sets	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0853	ICR Reference No: 202304-0920-006
Status: Historical Active	Previous ICR Reference No: 202003-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0853
Title: [NCEH] Asthma Information Reporting System (AIRS)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/27/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/24/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2026	36 Months From Approved	06/30/2023
Responses	90	0	90
Time Burden (Hours)	105	0	105
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this information collection (IC) is to continue CDC's monitoring of recipient programs' planning and delivery of public health activities and the programs' collaboration with health care systems. The 30 recipients receive funding to implement a variety of public health strategies and activities related to asthma. AIRS is the system by which state asthma programs report their progress on National Asthma Control Program developed performance measures (PM), as well as state-level asthma emergency department (ED) visit and hospital discharge (HD) data. CDC requests an Extension to continue previously approved data collection activities. There is no change to the burden hours associated with this OMB package.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

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 77835	12/20/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 32224	05/19/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Analysis and Use of Core Data Sets	0920-0853, 0920-0853, 0920-0853	PM Reporting Tool MAY2023 ,   ED Visits Reporting Form MAY2023 ,   HD Reporting Form MAY2023

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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	90	90	0	0	0	0
Annual Time Burden (Hours)	105	105	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:

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Annual Cost to Federal Government: $841,271

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.     Yes

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: 05/24/2023

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