0920-1282 GenIC Request Template

OMB Control Number 0920-1282
Performance Measures Project
Request for genIC Approval (for data collection in 2023, 2024, 2025)
CIO: National Center for Emerging Zoonotic Infectious Diseases
PROJECT TITLE: HAI/AR Programs
PURPOSE AND USE OF COLLECTION:
CDC’s Epidemiology and Laboratory Capacity cooperative agreement (ELC; CK19-1904) provides
funding to support and enhance the capacity of local and state health departments. Specifically,
Program G1: Healthcare-associated Infections, Antibiotic Resistance, and Antibiotic Stewardship
(hereafter G1) within ELC funds a network of Healthcare-Associated Infections (HAIs) & Antibiotic
Resistance (AR) Programs within health departments that work to improve patient safety by
preventing HAIs, containing emerging AR, and improving use of antibiotics. During the COVID-19
pandemic, CDC received supplemental funding that was distributed through the ELC mechanism to
support the HAI/AR programs and their COVID-19 healthcare infection prevention, control, and
response efforts.
This request for genIC approval is applicable to performance measures reported for all
recipients of CK19-1904 G1 and the following COVID-19 supplements that work together to
support CDC-funded HAI/AR programs: ELC Firstline Infection Prevention and Control (IPC)
Training Supplement (Project Firstline), CARES and Enhancing Detection Expansion
(CARES/EDEX), Strengthening HAI/AR Program Capacity (SHARP), and Nursing Home and Longterm Care Strike Team Infrastructure Project (NH Strike Teams). COVID response dollars funded the
supplements listed for this genIC request. The broader ELC cooperative agreement may have other
PRA packages associated with additional data collections and other performance measurement
activities due to the breadth of programs across CDC using the funding mechanism, but the
performance measures included in this application are unique to CK19-1904, G1 and the other
related supplements. The funded activities associated with this request are described in additional
detail below:
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G1: Provides funds to 59 health departments through the core ELC cooperative agreement
to support and enhance the capacity of local and state health departments to improve patient
safety by preventing HAIs, containing emerging AR, and improving use of antibiotics.
Project Firstline: Provides HAI/AR Program COVID-19 funding for training of frontline
healthcare personnel. To stop the spread of COVID-19 and other infectious diseases, all
healthcare personnel need at least a foundational understanding of IPC. Project Firstline,
CDC’s national training collaborative on healthcare IPC, includes an innovative IPC training
curriculum delivered through a variety of interactive modalities. Health departments will
assist in reaching targeted front-line healthcare personnel while also creating IPC training
expertise in the public health workforce.

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CARES/EDEX: As part of the “Coronavirus Aid, Relief, and Economic Security Act” or the
“CARES Act” of 2020, in a program-initiated component funding under Project E: Emerging
Issues of CK19-1904, funds were awarded to 64 health departments to bolster their HAI/AR
program’s ability to rapidly establish and monitor key activities related to COVID-19 in the
areas of epidemiology, laboratory, and informatics (CARES). To provide additional critical
support to jurisdictions as they continue to address COVID-19 within their communities,
funds from the Coronavirus Response and Relief Supplemental Appropriations Act of 2021,
P.L. 116-260, provided additional resources to prevent, prepare for, and respond to
coronavirus by supporting testing, case investigation and contact tracing, surveillance,
containment, and mitigation (Enhancing Detection Expansion).
SHARP: Through the American Rescue Plan Act of 2021, P.L. 117-2, as program-initiated
component funding under Project E: Emerging Issues of CK19-1904, funds were awarded to
64 health departments’ HAI/AR programs to provide additional critical support to recipients
as they continue to address COVID-19 within their communities.
NH Strike Teams: Through the American Rescue Plan Act of 2021, P.L. 117-2, as programinitiated component funding under Project E: Emerging Issues of CK19-1904, funds were
awarded to 64 health departments to assist recipients with supporting long-term care
facilities during their response to SARS-CoV-2 infections, and also to build and maintain the
infection prevention infrastructure necessary to support resident, visitor, and facility
healthcare personnel safety.

The specific combinations of funds received by each recipient are detailed in the attachment
‘[NCEZID] – Funding awards by recipient [new 2023-2025] [07-12-2023]’.
The purpose of the collection is to assess recipients’ individual and collective progress toward
implementing priority activities funded, direct technical assistance (TA) to recipients, and obtain
information needed to help assess the awards’ contribution to public health impact. Findings will be
disseminated to funded recipients and key CDC staff and partners to be used for internal program
improvement and planning and accountability purposes.
NUMBER AND TITLE OF NOFO: CK19-1904, Epidemiology and Laboratory Capacity and
supplements
NUMBER OF PARTICIPATING RECIPIENTS: 64
•

For CK19-1904: 59 health departments are funded for core ELC, G1, HAI/AR work.

•

For all remaining supplemental awards associated with this application, 64 health
departments are funded for additional HAI/AR and COVID-19 response and prevention work.

DESCRIPTION OF NOFO (check all that apply):
_X_

Funds all 50 states

_X_

Has budget higher than $10 million per year

_X_

Has significant stakeholder interest (e.g. partners, Congress)

Please elaborate:
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The ELC cooperative agreement supports critical public health infrastructure by funding and
providing technical assistance to 64 state, local, and territorial health departments. Through the G1
project within ELC, the Division of Healthcare Quality Promotion (DHQP) awards approximately
$33M annually to Healthcare-Associated Infection and Antibiotic Resistance (HAI/AR) programs in
state, local, and territorial health departments, to improve patient safety by preventing HAIs,
containing emerging AR, and improving use of antibiotics within their communities. Significant
supplemental funding went out through ELC/DHQP to further HAI/AR programs’ ability to apply their
strategies for patient safety in response to the COVID pandemic. Supplemental funds went to all 64
ELC recipients to support COVID-19 healthcare infection prevention and response efforts, including
$80M for ELC Project Firstline, $385M for SHARP, and $500M for NH Strike Teams. Supplemental
funds provided through ELC CARES ($631M), Enhancing Detection ($10.25B), and Enhancing
Detection Expansion ($19.11B) also supported healthcare infection prevention and control activities
and staffing for HAI/AR Programs. Given the amount of funds awarded and the importance of
demonstrating how funds have been used to support state and local public health efforts to respond
to COVID-19 and other infectious disease threats, this work has significant stakeholder interest.
PERFORMANCE METRICS USED & JUSTIFICATIONS:
CDC developed the proposed performance measures associated with this application based on the
required activities of funded recipients, as outlined in the Notice of Funding Opportunity guidance
documents, and priorities defined by each project area as outlined in supplemental guidance. The
performance measures primarily focus on the quantitative aspect of measuring recipients’ expected
performance; this was done in an effort to balance the burden on recipients and need to track
progress and accountability.
Performance measures will be collected periodically (either once or twice per year as noted in the
table below). Measures reported twice per year are intended to provide timely information to inform
how CDC provides TA to recipients. Technical specifications were developed in alignment with
previous ELC performance measures, to provide consistency to recipients in how performance
measures are presented across the cooperative agreement.
There are a total of 14 performance measures associated with this application. Some measures are
shared across funding streams, and some are unique to one (see table below). This reflects the
intent of the awards, as supplemental funds were awarded to build upon and strengthen existing
infrastructure through increases or improvements to existing activities and new, related activities.
Given the relationship of many measures to more than one funding stream, measures have been
organized by topic or project area: (1) Response and Prevention, (2) Antibiotic Stewardship, (3)
National Healthcare Safety Network (NHSN), and (4) Project Firstline. CDC subject matter experts
developed the measures specifically for their project areas, to ensure that the data for each measure
are collected in a way that is most appropriate for the specific topic area. Details for each
performance measure can be found in the attachment ‘[NCEZID] - Technical specifications [new
2023-2025] [07-12-2023].’ Forms detailing how these data will be collected from recipients can be
found in the attached REDCap forms (Form 1 through Form 5) and associated recipient notification
email (‘[NCEZID] - Sample Email [new 2023-2025] [07-12-2023]). The data collection forms are
summarized in the attachment ‘[NCEZID] - REDCap form cover page [new 2023-2025] [07-12-

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2023].’ While the attached forms show every item a respondent could possibly see, respondents will
complete the forms on the web-based REDCap application, which will accommodate skip patterns
and only show relevant questions to the respondent. Use of the web-based application and skip
patterns will significantly streamline the respondent’s user experience and minimize burden to the
respondent.
Table: Measures, with frequency and funding stream
Project Area

Response
and
Prevention

Antibiotic
Stewardship
NHSN
Project
Firstline

Performance
Measure Number

Frequency
of
Reporting

HARP PM1
HARP PM2
HARP PM3
HARP PM4
HARP PM5
(formerly called
SHARP PM I.1, I.2,
Strike PM2)
HARP PM6
(formerly called
Strike PM1)
SHARP PM III.1
SHARP PM III.2
SHARP PM IV.1
SHARP PM IV.2
PFL PM1
PFL PM2
PFL PM3
SHARP PM V.1

1x/year
2x/year
2x/year
2x/year
1x/year

G1

Associated Funding Stream
Project
CARES/ SHARP
NH
Firstline
EDEX
Strike
Teams

X
X
X
X

X
X
X

X
X
X
X

2x/year

X
X
X
X

X

1x/year
1x/year
1x/year
1x/year
2x/year
2x/year
2x/year
2x/year

X

X
X
X

X
X
X
X
X
X
X

Data will be collected through REDCap, a secure web application compliant with the Federal
Information Security Management Act (FISMA). Health departments are already familiar with
REDCap, since it is used in other ELC activities, which helps to minimize burden. Five forms will be
used: one form for each project area (4) and one cross-cutting staffing form for all projects (1).
REDCap further helps to streamline reporting by giving recipients access to all forms from one
central location.
CERTIFICATION:
I certify the following to be true:
1. The collection is non-controversial and does not raise issues of concern to other federal
agencies.
2. Information gathered is meant primarily for program improvement and accountability; it is not
intended to be used as the principal basis for policy decisions
Name: ___Margaret Paek_____________________________________________
To assist review, please answer the following questions:
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ANNUALIZED BURDEN HOURS:
This table calculates the total estimated burden per year for all recipients.
The column “Associated Funding Streams” lists the corresponding funding source(s) for each form.
Form 1 is described in three rows, to delineate (1) differences in frequency of reporting and (2) the
number of respondents. Skip patterns in the web-based application ensure that the respondent only
sees the minimum number of fields.
Type of
Respondent

Form Name

Associated
Funding
Streams

No. of
Respondents

No. of
Responses
per
Respondent

Avg.
Burden
Per
Response
(in hours)

Burden
in
Hours

State, local,
or territorial
health
departments

Form 1 HAI/AR
Response &
Prevention
Performance
Measures
PM1

G1

59

1

5/60

5

State, local,
or territorial
health
departments

Form 1 HAI/AR
Response &
Prevention
Performance
Measures
PM2, PM3,
PM4, PM6

G1,
CARES/EDEX,
SHARP, NH
Strike Teams

64

2

8

1024

State, local,
or territorial
health
departments

Form 1 HAI/AR
Response &
Prevention
Performance
Measures
PM5

CARES/EDEX,
SHARP, NH
Strike Teams

64

1

5/60

5

State, local,
or territorial
health
departments

Form 2 HAI/AR
Performance
Measures
(SHARP
Project III;

G1, SHARP

62

1

45/60

47

5

Antibiotic
Stewardship
State, local,
or territorial
health
departments

Form 3 HAI/AR
Performance
Measures
(SHARP
Project IV;
NHSN)

SHARP

64

1

45/60

48

State, local,
or territorial
departments

Form 4 HAI/AR
Performance
Measures
(SHARP
Project V;
Project
Firstline)

Project
Firstline,
SHARP

64

2

1

128

State, local,
or territorial
departments

Form 5 HAI/AR
Program
Staffing
Directory

G1, Project
Firstline,
CARES/EDEX,
SHARP, NH
Strike Teams

64

2

78/60

166

Totals

1,423

TOTAL BURDEN HOURS FOR THIS GENIC:
This table specifies the calendar years in which information will be collected and calculates the total
burden hours requested over the approved timeframe of the generic.
Data Collection Timeframe (List up to 3 Years)

No. Years
Requested

2023, 2024, 2025

3

Annualized
Burden Hours

1,423

Total Burden Hours

for this GENIC
4,269

See examples provided with this template.

FEDERAL COST: The estimated annual cost to the Federal government is __$34,254 per
reporting cycle__________
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ADMINISTRATION OF THE INSTRUMENT:
1. How will you collect the information? (Check all that apply)
[ X ] Web-based
[ ] Email
[ ] Postal Mail
[ ] Other, Explain

Please make sure all instruments, instructions, and scripts are submitted with the request.

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