[OPHDST] Generic Clearance for the Collection of Minimal Data Necessary for Case Data During an Emergency Response

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1447 NEW WORLD SCREWWORM (NWS) CASE REPORT	Form and Instruction	New	Available
OMB_0920-1447_Change Request_04092025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-04-15	Available
OMB_0920-1447_Change Request_04092025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-04-15	Repair queued
Att 3 - List of MDN for Case Data 04092025.xlsx	Supplementary Document	Uploaded 2025-04-15	Available
Att 3 - List of MDN for Case Data 04092025.xlsx	Supplementary Document	Uploaded 2025-04-15	Repair queued
EO14168 CRM MDN.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-20	Available
EO14168 CRM MDN.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-20	Repair queued
SSA_MDN Generic ICR_Updated.docx	Supporting Statement A	Uploaded 2024-09-13	Available
SSA_MDN Generic ICR_Updated.docx	Supporting Statement A	Uploaded 2024-09-13	Repair queued
Att 9 - PRA Burden Statement Screenshot.pdf	Supplementary Document	Uploaded 2024-09-12	Available
Att 9 - PRA Burden Statement Screenshot.pdf	Supplementary Document	Uploaded 2024-09-12	Repair queued
Att 8 - Research Determination.pdf	Supplementary Document	Uploaded 2024-09-12	Available
Att 8 - Research Determination.pdf	Supplementary Document	Uploaded 2024-09-12	Repair queued
Att 7 - DCIPHER PIA.pdf	Supplementary Document	Uploaded 2024-09-12	Available
Att 7 - DCIPHER PIA.pdf	Supplementary Document	Uploaded 2024-09-12	Repair queued
Att 6 - Response Specific Data Element Form.docx	Supplementary Document	Uploaded 2024-09-12	Available
Att 6 - Response Specific Data Element Form.docx	Supplementary Document	Uploaded 2024-09-12	Repair queued
Att 5 - MDN for Case Data Form_Updated.docx	Supplementary Document	Uploaded 2024-09-13	Available
Att 5 - MDN for Case Data Form_Updated.docx	Supplementary Document	Uploaded 2024-09-13	Repair queued
Att 4 - List of Non MDN GenV2 Data Elements.xlsx	Supplementary Document	Uploaded 2024-09-12	Available
Att 4 - List of Non MDN GenV2 Data Elements.xlsx	Supplementary Document	Uploaded 2024-09-12	Repair queued
List of MDN for Case Data 032025.xlsx	Supplementary Document	Uploaded 2025-03-20	Available
List of MDN for Case Data 032025.xlsx	Supplementary Document	Uploaded 2025-03-20	Repair queued
Att 2a - 60 day FRN.pdf	Supplementary Document	Uploaded 2024-09-12	Available
Att 2a - 60 day FRN.pdf	Supplementary Document	Uploaded 2024-09-12	Repair queued
Att 1 - Authorizing Legislation 42 USC 241.pdf	Supplementary Document	Uploaded 2024-09-12	Available
Att 1 - Authorizing Legislation 42 USC 241.pdf	Supplementary Document	Uploaded 2024-09-12	Repair queued
SSB_MDN Generic ICR.docx	Supporting Statement B	Uploaded 2024-09-12	Available
SSB_MDN Generic ICR.docx	Supporting Statement B	Uploaded 2024-09-12	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
276895	Reemergence of New World Screwworm (NWS)	Form and Instruction	New	NEW WORLD SCREWWORM (NWS) CASE REPORT

ICR Details

OMB Control No: 0920-1447	ICR Reference No: 202504-0920-012
Status: Active	Previous ICR Reference No: 202503-0920-023
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-25-0093
Title: [OPHDST] Generic Clearance for the Collection of Minimal Data Necessary for Case Data During an Emergency Response
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/06/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/20/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2027	10/31/2027	10/31/2027
Responses	657,000	0	657,000
Time Burden (Hours)	328,530	0	328,530
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection is designed to collect the MDN and response-specific data as needed, for confirmed, probable, and suspected cases of any disease or condition that is the subject of an emergency response at CDC. During an emergency response, CDC uses case data to inform actions that need to be taken at all levels of public health and by the public. State, tribal, local, and territorial (STLT) health departments and CDC need to exchange data on confirmed, probable, and suspected cases rapidly. Timely notification of cases from STLT to CDC is critical to provide situational awareness at the federal level to support decision making, particularly for public health threats. This Change Request is submitted to add new disease specific data elements (fields for outbreak status, CDC outbreak name, exposure dates, fields for 'other') for collection by CDC when individual GenICs are submitted under the 0920-1447 umbrella. Since each individual GenIC will differ, and will collect different data elements, there are no anticipated changes to the burden.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHSA
  

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:
	89 FR 20476	03/22/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 74276	09/12/2024
Did the Agency receive public comments on this ICR? Yes

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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
Reemergence of New World Screwworm (NWS)	0920-1447	NEW WORLD SCREWWORM (NWS) CASE REPORT

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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	657,000	657,000	0	0	0	0
Annual Time Burden (Hours)	328,530	328,530	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: This is a New Generic Collection.

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Annual Cost to Federal Government: $1,186,391

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.     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:  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: 05/20/2025

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