Non-Substantive Change Request

Request for Non-substantive Change to an OMB Approved Information Collection

February 27, 2017

Information Collection Request: “US Zika Pregnancy Registry”

(OMB no. 0920-1143, exp. date 11/30/2019)

Background and Justification

CDC is currently approved to collect the information needed to monitor the frequency and types of adverse birth outcomes for women with laboratory evidence of Zika virus infection during pregnancy and their infants. This includes information on pregnant women in the United States with any laboratory evidence of Zika virus infection (positive or equivocal test results, regardless of whether they have symptoms) and periconceptionally, prenatally or perinatally exposed infants born to these women.

The ICR package authorizing collection of this information contains a number of supporting documents that function to inform healthcare providers, pregnant women, and the families of infants about their information being collected.

Revisions are being requested for these supporting documents to better reflect the information about Zika that has been learned since the beginning of the current outbreak in the Western Hemisphere and to simplify the information contained within them.

Revised supporting document are included with this Change Request as follows:

Att 5a – Fact Sheet for Pregnant Women

Att 5b – Fact Sheet for Parents

Att 6a – Provider Overview Letter – Obstetric Providers

Att 6b – Provider Overview Letter – Pediatric Providers

Att 7a – Fact Sheet for Obstetric Providers

Att 7b – Fact Sheet for Pediatric Providers

Att 7c – Fact Sheet for Health Departments

This Change Request does not involve any change to the estimated burden, as none of the information collection instruments or methods are being revised.