School Dismissal Monitoring System

ICR 201304-0920-009

OMB: 0920-0849

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
192337 Modified
ICR Details
0920-0849 201304-0920-009
Historical Active 201003-0920-012
HHS/CDC 19225
School Dismissal Monitoring System
Revision of a currently approved collection   No
Regular
Approved without change 05/22/2013
Retrieve Notice of Action (NOA) 04/17/2013
  Inventory as of this Action Requested Previously Approved
05/31/2016 36 Months From Approved 05/31/2013
2,500 0 500
208 0 42
0 0 0

The data collected by the School Dismissal Monitoring System are necessary to fulfill CDC's public health mission to prevent the spread of infectious diseases and evaluate consequences of public health emergencies in communities in the U.S.

US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  77 FR 71797 12/04/2012
78 FR 18598 03/27/2013
No

1
IC Title Form No. Form Name
School Dismissal Monitoring System (Reporting Form) None School Dismissal Monitoring Sysem

  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 2,500 500 0 2,000 0 0
Annual Time Burden (Hours) 208 42 0 166 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
CDC is requesting a revision to a currently approved information collection. During the 2009 H1N1 pandemic influenza response, there was considerable interest in the reasons why dismissals were occurring. This revision requests the addition of a field for the reason for dismissal into the existing data collection form, and an increase of 166 burden hours due to a revised estimate of respondent burden given lessons learned during the response to the 2009 H1N1 pandemic influenza.

$610,878
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Petunia Gissendaner 4046390164

  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.
04/17/2013


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