National Disease Surveillance Program - 1. Case Reports

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
6603	National Disease Surveillance Program - 1. Case Reports Form	Migrated

ICR Details

OMB Control No: 0920-0009	ICR Reference No: 200104-0920-010
Status: Historical Active	Previous ICR Reference No: 199911-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: National Disease Surveillance Program - 1. Case Reports
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/05/2001
	Date Received in OIRA: 04/30/2001
Terms of Clearance: Approved consistent with clarifications in CDC memos of 6-19-01, and 6-29-01. Approval is through September 2002 by which time this collection should be incorporated in the National Electronic Disease Surveillance System (NEDSS) and a new clearance will be necessary. When this package is resubmitted, it will conform with the OMB guidelines on race and ethnicity.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2002	09/30/2002	07/31/2001
Responses	131,148	0	89,229
Time Burden (Hours)	34,038	0	27,110
Cost Burden (Dollars)	0	0	0

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Abstract: The CDC, working with state Health Departments, propose, coordinate, and evaluate nationwide surveillance systems. State epidemiologists are responsible for the collection, interpretations, and transmission of medical/epidemiological information to CDC. The purpose for reporting communicable disaeses is to deermine the prevalence of diseases dangerous to public health, provide the basis for planning and evaluating effective programs for prevention and control of infectious diseases, and study present and emerging disease problems. CDC coordination of nationwide reporting maintains uniformity so.....

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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:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
National Disease Surveillance Program - 1. Case Reports	CDC-53.1, CDC-52.15, CDC-56.31A, CDC-56.31B, CDC-55.54, CDC-52.56, CDC-52.18, CDC-52.60, CDC-54.1, CDC-56.37

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ICR Summary 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	131,148	89,229	0	41,919	0	0
Annual Time Burden (Hours)	34,038	27,110	0	6,928	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:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 04/30/2001

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