[NCEZID] Enterprise Laboratory Information Management System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CDC 50.34_v4.2.21 CDC SPECIMEN SUBMISSION FORM: SPECIMENS OF HUMAN ORGAN	Form	Modified	Available
Form CDC 50.34_v4.2.21 CDC Specimen Submission 50.34 Form	Form	Modified	Repair queued
Form 0920-1309 GFAT v5.12	Form and Instruction	Modified	Available
Form 0920-1309 Global File Accessioning Template	Form and Instruction	Modified	Repair queued
Form CDC 50.34 CDC SPECIMEN SUBMISSION FORM: SPECIMENS OF HUMAN ORIGIN	Form	Removed	Available
Form CDC 50.34 Att 3a_ 50.34 Form_v4.2.3	Form	Removed	Repair queued
Attachment 5-Human Subjects Determination.pdf	Supplementary Document	Uploaded 2023-08-21	Repair queued
Attachment 4-Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2023-08-21	Repair queued
Attachment 3-60-day FRN.pdf	Supplementary Document	Uploaded 2023-08-21	Repair queued
Attachment 1-Section 301 of the Public Health Service Act (42 U.S.C. 241).pdf	Supplementary Document	Uploaded 2023-08-21	Repair queued
Supporting Statement B.docx	Supporting Statement B	Uploaded 2023-08-21	Repair queued
Supporting Statement A_final.docx	Supporting Statement A	Uploaded 2023-08-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
243434	CDC Specimen Submission 50.34 Form	Form	Modified	CDC SPECIMEN SUBMISSION FORM: SPECIMENS OF HUMAN ORGAN
243434	CDC Specimen Submission 50.34 Form	Form	Modified
243432	Global File Accessioning Template	Form and Instruction	Modified	GFAT v5.12
243432	Global File Accessioning Template	Form and Instruction	Modified
243431	Att 3a_ 50.34 Form_v4.2.3	Form	Removed	CDC SPECIMEN SUBMISSION FORM: SPECIMENS OF HUMAN ORIGIN
243431	Att 3a_ 50.34 Form_v4.2.3	Form	Removed

ICR Details

OMB Control No: 0920-1309	ICR Reference No: 202308-0920-008
Status: Historical Active	Previous ICR Reference No: 202105-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1309
Title: [NCEZID] Enterprise Laboratory Information Management System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/03/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/28/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2026	36 Months From Approved	11/30/2023
Responses	25,341	0	25,079
Time Burden (Hours)	2,153	0	2,131
Cost Burden (Dollars)	0	0	0

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Abstract: The Enterprise Laboratory Information Management System (ELIMS) is a system that CDC laboratories use to manage specimen testing work flows. Specimen information is entered into ELIMS via PDF file called the CDC Specimen Submission 50.34 Form or an electronic XSLX file called the Global File Accessioning Template. This Revision increases the burden slightly.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
   US Code: 42 USC 263a Name of Law: Clinical Laboratory Improvement Amendments of 1988
  

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:
	88 FR 37880	06/09/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 58280	08/25/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Att 3a_ 50.34 Form_v4.2.3	CDC 50.34	CDC SPECIMEN SUBMISSION FORM: SPECIMENS OF HUMAN ORIGIN
CDC Specimen Submission 50.34 Form	CDC 50.34_v4.2.21	CDC SPECIMEN SUBMISSION FORM: SPECIMENS OF HUMAN ORGAN
Global File Accessioning Template	0920-1309	GFAT v5.12

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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	25,341	25,079	0	6,262	-6,000	0
Annual Time Burden (Hours)	2,153	2,131	0	522	-500	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: There is a slight burden increase due to increased estimated number of respondents.

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Annual Cost to Federal Government: $130,146

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 08/28/2023

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