Methicillin-Resistant Staphylococcus aureus (MRSA) Infection Control Practices Survey

Forms and Documents

Document Name	Status
Form No Number MRSA Infection Control Practices Survey Form and Instruction	New
CDC Revisions Memo.doc Supplementary Document	2008-04-24
Attachment F IRB Determination.rtf Supplementary Document	2007-11-08
Attachment D 60d FRN.pdf Supplementary Document	2007-11-08
Attachment C MRSA Guidance.pdf Supplementary Document	2007-11-08
Attachment B Screen Shots.pdf Supplementary Document	2007-11-08
Attachment A 42 CFR Section 301.doc Supplementary Document	2007-11-08
MRSA Supporting Statement(3).doc Supporting Statement A	2007-11-20

IC Document Collections

IC ID	Document Title	Status
182820	MRSA Infection Control Practices Survey Form and Instruction	New

ICR Details

OMB Control No: 0920-0772	ICR Reference No: 200711-0920-011
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Methicillin-Resistant Staphylococcus aureus (MRSA) Infection Control Practices Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/25/2008
	Date Received in OIRA: 11/21/2007
Terms of Clearance: Approved consistent with CDC revisions.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2011	36 Months From Approved
Responses	210	0	0
Time Burden (Hours)	105	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC is requesting OMB approval to conduct a cross-sectional, web-based survey of infection control professionals to evaluate the status of infection control practices pertaining to the control of methicillin-resistant Staphylococcus aureus (MRSA). The purpose of this survey is to learn the degree of MRSA prevention practice implementation as outlined in the CDC prevention guidelines and evaluate the success of health care facilities' MRSA control activities in reducing the incidence of invasive MRSA.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

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:
	72 FR 16791	04/05/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 64228	11/15/2007
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
MRSA Infection Control Practices Survey	No Number	MRSA Infection Control Practices Survey

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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	210	0	0	210	0	0
Annual Time Burden (Hours)	105	0	0	105	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: No

Burden Reduction Due to:

Short Statement: This is a new data collection.

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Annual Cost to Federal Government: $8,604

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: 11/21/2007

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