0009 change request 2014

National Disease Surveillance Program - I. Case Reports

OMB No. 0920-0009

Change Request

January 16, 2014

The following diseases/conditions have been included in this program for many years:

Creutzfeldt-Jakob Disease (CJD)

Cyclosporiasis cayetanensis Q Fever

Dengue Reye Syndrome

Hantavirus pulmonary syndrome (HPS) Tick-borne Rickettsial Disease

Kawasaki syndrome Trichinosis

Legionellosis Tularemia

Lyme Disease (LD) Typhoid Fever

Malaria Viral Hepatitis

Plague

With the approval of [0920-0728] - The National Electronic Disease Surveillance System, only the following diseases will remain in this information collection:

Creutzfeldt-Jakob Disease (CJD)

Reye Syndrome

Kawasaki syndrome

New proposed burden table:

Form	Type of Respondent	No. of Respondents	No. of responses per respondent	Avg. Burden per response (in hrs)	Total burden hours
CJD	Epidemiologist	20	2	20/60	13
Kawasaki Syndrome	Epidemiologist	55	8	15/60	110
Reye Syndrome	Epidemiologist	50	1	20/60	17
Total					140

This is a decrease in 11,307 hours.

New Proposed Estimated Annualized Burden Costs

Form	Type of Respondent	No. of Respondents	No. of responses per respondent	Avg. Burden per response (in hrs)	Total burden hours	Hourly Wage Rate	Total Respondent Costs
CJD	Epidemiologist	20	2	20/60	13	33.49	435
Kawasaki Syndrome	Epidemiologist	55	8	15/60	110	33.49	3,684
Reye Syndrome	Epidemiologist	50	1	20/60	17	33.49	569
Total					140		$4688

This is a decrease in $378,672.