[NCCHSTP] Integrated Viral Hepatitis Surveillance and Prevention Funding for Health Departments

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1353 Outbreak Summary Report Form	Form	Modified	Available
Form 0920-1353 att 3f_Outbreak Summary Report Form	Form	Modified	Repair queued
Form 0920-1353 Initial Outbreak Report Form	Form and Instruction	Modified	Available
Form 0920-1353 Att 3e_Initial Outbreak Report Form	Form and Instruction	Modified	Repair queued
Form 0920-1353 Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings	Form and Instruction	Modified	Available
Form 0920-1353 Att 3d_Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings	Form and Instruction	Modified	Repair queued
Form 0920-1353 Component 3: Special Projects—Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use	Form	Modified	Available
Form 0920-1353 Att 3c_Component 3: Special Projects-Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use	Form	Modified	Repair queued
Form 0920-1353 Component 2: Core Viral Hepatitis Prevention Activities	Form	Modified	Available
Form 0920-1353 Att 3b_Component 2: Core Viral Hepatitis Prevention Activities	Form	Modified	Repair queued
Form 0920-1353 Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities	Form	Modified	Available
Form 0920-1353 Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities	Form	Modified	Repair queued
SSA_rev 031324.docx	Supporting Statement A	Uploaded 2024-04-12	Repair queued
Project-Determination Summary.pdf	Supplementary Document	Uploaded 2024-03-22	Repair queued
Att 1_ Authorizing Legislation.pdf	Supplementary Document	Uploaded 2024-03-22	Repair queued
SSB_3-13-2024.docx	Supporting Statement B	Uploaded 2024-04-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
248662	att 3f_Outbreak Summary Report Form	Form	Modified	Outbreak Summary Report Form
248662	att 3f_Outbreak Summary Report Form	Form	Modified
248661	Att 3e_Initial Outbreak Report Form	Form and Instruction	Modified	Initial Outbreak Report Form
248661	Att 3e_Initial Outbreak Report Form	Form and Instruction	Modified
248660	Att 3d_Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings	Form and Instruction	Modified	Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings
248660	Att 3d_Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings	Form and Instruction	Modified
248659	Att 3c_Component 3: Special Projects-Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use	Form	Modified	Component 3: Special Projects—Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use
248659	Att 3c_Component 3: Special Projects-Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use	Form	Modified
248657	Att 3b_Component 2: Core Viral Hepatitis Prevention Activities	Form	Modified	Component 2: Core Viral Hepatitis Prevention Activities
248657	Att 3b_Component 2: Core Viral Hepatitis Prevention Activities	Form	Modified
248655	Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities	Form	Modified	Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities
248655	Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities	Form	Modified

ICR Details

OMB Control No: 0920-1353	ICR Reference No: 202403-0920-014
Status: Active	Previous ICR Reference No: 202208-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1353
Title: [NCCHSTP] Integrated Viral Hepatitis Surveillance and Prevention Funding for Health Departments
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/16/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/12/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2027	36 Months From Approved	11/30/2024
Responses	382	0	427
Time Burden (Hours)	245	0	239
Cost Burden (Dollars)	0	0	0

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Abstract: Tools exist to prevent new cases of hepatitis A, B, and C, to treat people living with hepatitis B, and to cure people living with hepatitis C. Yet new cases of viral hepatitis (VH) continue to rise, many people infected with VH remain undiagnosed, and far too many VH-related deaths occur in the US each year. This project will enable states to collect data to evaluate disease burden and trends and to analyze and disseminate that data to develop or refine recommendations, policies, and practices that will ultimately reduce the burden of VH in their jurisdictions.

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Authorizing Statute(s): None

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 45215	07/14/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 25877	04/12/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Att 3a_Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities	0920-1353	Component 1: Core Viral Hepatitis Outbreak Response and Surveillance Activities
Att 3b_Component 2: Core Viral Hepatitis Prevention Activities	0920-1353	Component 2: Core Viral Hepatitis Prevention Activities
Att 3c_Component 3: Special Projects-Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use	0920-1353	Component 3: Special Projects—Prevention, Diagnosis, and Treatment Related to the Infectious Disease Consequences of Drug Use
Att 3d_Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings	0920-1353	Increasing Access to Hepatitis C and/or Hepatitis B Testing and Linkage to Care in High-Impact Settings
Att 3e_Initial Outbreak Report Form	0920-1353	Initial Outbreak Report Form
att 3f_Outbreak Summary Report Form	0920-1353	Outbreak Summary Report Form

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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	382	427	0	-45	0	0
Annual Time Burden (Hours)	245	239	0	6	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The first change is to make minor modifications to the original, approved data collection forms. These modifications include editorial changes to existing questions (e.g., to simplify/clarify) and also several new questions. The purpose of these modifications is to ensure recipients understand the type of information CDC requires for this cooperative agreement (and help CDC better use the data to evaluate activities). The second change is to describe the new data collection burden associated with the supplemental funding.

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Annual Cost to Federal Government: $22,445,790

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.     No

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:  Yes

Description/Changes for Common Form Usage:  Changes requested are intended to improve clarity, readability, flow, and efficiency for recipients. Burden is not affected. The purpose of these modifications is to ensure recipients understand the type of information CDC requires for this cooperative agreement (and help CDC better use the data to evaluate activities). The second change is to describe the new data collection burden associated with the supplemental funding.

Approved RCFs using this ICR

table that charts list of RCF

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title

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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: 04/12/2024

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