SSB-TB Follow up Worksheet_revised

SSB-TB Follow up Worksheet_revised.docx

[NCEZID] US Tuberculosis Follow-up Worksheet for Newly Admitted Persons with Overseas Tuberculosis Classifications

OMB: 0920-1238

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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


October 13, 2023








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.

  1. 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.

  1. 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.

  1. Tests of Procedures or Methods to be Undertaken

No pre-tests are planned.





  1. 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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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSamuel, Lee (CDC/OID/NCEZID)
File Modified0000-00-00
File Created2023-10-13

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