Traumatic Brain Injury (TBI) Surveillance System

ICR 201901-0920-007

OMB: 0920-1240

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Justification for No Material/Nonsubstantive Change
2019-01-22
Supplementary Document
2018-08-10
Supplementary Document
2018-08-10
Supplementary Document
2018-08-10
Supplementary Document
2018-08-10
Supplementary Document
2018-08-10
Supplementary Document
2018-08-10
Supplementary Document
2018-08-10
Supplementary Document
2018-08-10
Supplementary Document
2018-08-10
Supplementary Document
2018-08-10
Supplementary Document
2018-08-10
Supplementary Document
2018-08-10
Supplementary Document
2018-08-08
Supplementary Document
2018-08-08
Supplementary Document
2018-08-08
Supplementary Document
2018-08-08
Supplementary Document
2018-08-08
Supporting Statement B
2018-08-07
Supporting Statement A
2018-08-07
ICR Details
0920-1240 201901-0920-007
Active 201808-0920-003
HHS/CDC 0920-1240-19MV
Traumatic Brain Injury (TBI) Surveillance System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 02/14/2019
Retrieve Notice of Action (NOA) 01/24/2019
Previous terms of clearance apply: This study is approved consistent with the understanding that the data collection is designed to support exploratory research for measure development. The data collected should not be used to develop national estimates.
  Inventory as of this Action Requested Previously Approved
08/31/2021 08/31/2021 08/31/2021
6,503 0 6,503
1,396 0 1,396
0 0 0

The Traumatic Brain Injury (TBI) Surveillance System is a case definition validation study that is designed to test the validity of a three-tiered case definition which will assess whether a TBI was sustained among adults and children during the last 12 months using parent- and self-report. Data from this study will be used to understand whether the proposed case definition and its underlying hypotheses are reflective of the data collected. In addition, the analysis should illuminate the extent to which current databases over and under estimate current TBI estimates. If validated, the new case definition will be communicated to health care professionals and researchers. This is a request to allow text message correspondence to survey participants. There is no change in burden.

US Code: 42 USC 241 Name of Law: U.S. PHSA
  
None

Not associated with rulemaking

  81 FR 38182 06/13/2016
81 FR 57587 08/23/2016
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 6,503 6,503 0 0 0 0
Annual Time Burden (Hours) 1,396 1,396 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Submission of Traumatic Brain Injury (TBI) Surveillance System is a New ICR.

$1,079,683
Yes Part B of Supporting Statement
    No
    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.
01/24/2019


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