Non-Substantive Change Request Memo [12OCT2023]

Non-Substantive Change Request Memo

The EDN Tuberculosis Follow-Up Worksheet for Newly-Arrived Persons with Overseas Tuberculosis Classifications

(OMB Control No. 0920-1238)

October 11, 2023

Contact:

Rudith Vice

National Center for Emerging and Zoonotic Infectious Diseases

Centers for Disease Control and Prevention

1600 Clifton Rd, NE

Atlanta, Georgia 30333

Phone: (404) 718-7292

Email: nhr9@cdc.gov

This package is related to The EDN Tuberculosis Follow-up Worksheet for Newly-Arrived Persons with Overseas Tuberculosis Classifications (OMB Control # 0920-1238). Overall, the changes described below are very minor and do not constitute more than 10% change to the original package.

The purpose of this data collection is to follow-up with and assess newly-arrived persons in the United States who received overseas tuberculosis classifications in order to assist in the national effort to prevent new transmission of tuberculosis. Tuberculosis classification and US tuberculosis follow-up medical examination information on newly-arrived persons in the United States is available through the Electronic Disease Notification System (EDN). Data for each person with overseas tuberculosis classification requiring follow-up will be collected by state and local health departments through the Electronic Disease Notification (EDN) System.

The EDN Tuberculosis Follow-up Worksheet for Newly-Arrived Persons with Overseas Tuberculosis Classifications – Explanation of Changes*

*Note: Please see the tracked changes document for detailed changes.

The term, “pre-immigration,” was revised to incorporate “I-693” throughout the information collection instrument to include status adjusters who already reside in the United States. Similarly, fields that detail “panel physician” diagnosis or examinations were also revised to include the phrase, “or civil surgeon,” to be inclusive of status adjusters. The revisions in these terminologies do not alter the overall scope of the currently approved collection instrument as they do not exclude the subpopulation of study that was previously noted in the approved package. The same respondents who completed the collection instruments previously are the same respondents who will be completing the collection instruments with revised fields. Respondents will not accrue additional burden time since there are only labeling changes made to the collection instrument. No additional questions were added.

“The EDN Tuberculosis Follow-up Worksheet for Newly-Arrived Persons with Overseas Tuberculosis Classifications” data collection instrument changes:

• Changed “U.S. Review of Pre-Immigration CXR” section heading to “U.S. Review of Pre-Immigration/I-693 CXR”

• Changed C4 “Pre-Immigration CXR available?” field to “Pre-Immigration/I-693 CXR available?”

• Changed C5 “U.S. interpretation of pre-immigration CXR” to “U.S. interpretation of pre-immigration/I-693 CXR”

• Changed C8 “U.S. domestic CXR comparison to pre-immigration CXR” to “U.S. domestic CXR comparison to pre-immigration/I-693 CXR”

• Changed “U.S. Review of Pre-Immigration Treatment” section heading to “U.S. Review of Pre-Immigration/I-693 Treatment”

• Changed C9a “Completed treatment pre-immigration?” to “Completed treatment pre-immigration/I-693?”

• Changed C9b “Treatment completed prior to panel physician examination” “Treatment completed prior to panel physician or civil surgeon examination”

• Changed C9b “Treatment completed after panel physician diagnosis (DS 3030)” to “Treatment completed after panel physician or civil surgeon diagnosis (DS 3030)”

• Changed C9e “Report of treatment administered prior to panel physician examination” to “Report of treatment administered prior to panel physician or civil surgeon examination”

• Changed C9e “Documented on DS forms & patient reported at panel physician examination” to “Documented on DS forms & patient reported at panel physician or civil surgeon examination”

Changed C11a “Pre-Immigration treatment concerns?” to “Pre-Immigration treatment/I-693 concerns?”