OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Poison Center Collaborations for Public Health Emergencies

ICR 201609-0920-003 · OMB 0920-1166 · Historical Active

Forms and Documents
Document
Name
Status
Form
 New
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supplementary Document
2016-09-07
Supporting Statement B
2016-09-07
Supporting Statement A
2017-02-14
IC Document Collections
IC ID
Document
Title
Status
237171 New
ICR Details
0920-1166 201609-0920-003
Historical Active
HHS/CDC 16ARH
Poison Center Collaborations for Public Health Emergencies
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/17/2017
Retrieve Notice of Action (NOA) 09/13/2016
Approved consistent with the understanding that GenICs under this generic will be limited to follow-up activities in response to acute public health emergencies that may be causing adverse health outcomes. Data collection for investigations conducted under this generic will not exceed 60 days. Investigations conducted for the primary purpose of program evaluation, surveillance, needs assessment, or research (e.g., to contribute to generalizable knowledge) are excluded from this generic pathway. Al GenICs submitted under this generic will include all information collection instruments and an abbreviated supporting statement part A.
  Inventory as of this Action Requested Previously Approved
02/29/2020 36 Months From Approved
900 0 0
600 0 0
12,696 0 0
The goal of this generic collection is to create a timely mechanism to allow poison centers, supported by CDC, to obtain critical exposure and health information during a public health emergency. For selected events, poison center staff with CDC collaboration will conduct a call-back questionnaire to include questions not asked during initial poison center calls but are important for public health response to reduce mortality and morbidity.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  81 FR 40698 06/22/2016
81 FR 62740 09/12/2016
No
  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 900 0 0 900 0 0
Annual Time Burden (Hours) 600 0 0 600 0 0
Annual Cost Burden (Dollars) 12,696 0 0 12,696 0 0
Yes
Miscellaneous Actions
No
This is a new generic clearance request.
$122,784
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 sxw2@cdc.gov
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/13/2016