Justification for Trichinellosis Data Elements 23DEC2016

4

National Notifiable Diseases Surveillance System (NNDSS)

OMB Control Number 0920-0728

Expiration Date: 01/31/2019

Program Contact

Kim Gadsden-Knowles

Deputy Associate Director for Surveillance

Division of Health Informatics and Surveillance

Center for Surveillance, Epidemiology and Laboratory Services

Centers for Disease Control and Prevention

1600 Clifton Rd, MS-E97

Atlanta, GA 30329

Phone: (404) 498-0355

E-mail: klg6@cdc.gov

Submission Date: December 16, 2016

Circumstances of Change Request for OMB 0920-0728

This is a nonmaterial/non-substantive change request for OMB No. 0920-0728, expiration date 01/31/2019, for the reporting of Nationally Notifiable Diseases. The National Notifiable Diseases Surveillance System (NNDSS) is the nation’s public health surveillance system that enables all levels of public health (local, state, territorial, federal and international) to monitor the occurrence and spread of the diseases and conditions that the Council of State and Territorial Epidemiologists (CSTE) has officially designated as either “nationally notifiable” or as under “national surveillance.” The NNDSS facilitates the submission and aggregation of case notification data voluntarily submitted to CDC from 57 jurisdictions: health departments in every U.S. state, New York City, Washington DC, and 5 U.S. territories (American Samoa, the Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands). NNDSS also facilitates relevant data management, analysis, interpretation and dissemination of the information. The data are used to monitor health occurrence of notifiable conditions and to plan and conduct prevention and control programs at the state, territorial, local and national levels.

This request is for the addition of 6 new disease-specific data elements for Trichinellosis.

Five of the new data elements pertain to travel history during the relevant exposure window. Since the U.S. has an extremely low rate of Trichinella in commercial pork compared to other countries (e.g., some Eastern European countries), this information would be helpful in determining whether or not the case-patient likely acquired their infection domestically or outside of the United States. The sixth data element gathers information on related or epi-linked cases. Since there are often persons who shared the implicated meat product and/or had a similar illness as the primary case-patient, collecting this information can help to identify other persons that should be investigated as part of a potential cluster.

Modified Trichinellosis Data Elements

Data Element Identifier	Data Element Name	Data Element Description
TBD	Travel History	In the 8 weeks before onset of illness, did the subject travel out of their state or country of residence?
TBD	International Destination(s) of Recent Travel	International destination or countries the case-patient traveled to in the 8 weeks before onset of illness
TBD	Travel State	Domestic destination or state(s) the case-patient traveled to in the 8 weeks before onset of illness
TBD	Date of Arrival to Travel Destination	Date of arrival to travel destination
TBD	Date of Departure from Travel Destination	Date of departure from travel destination
TBD	Epi-Linked	Is this case epi-linked to another confirmed or probable case?

Burden

The annualized burden hours and cost to reporting jurisdictions to submit these data to CDC does not change from the original estimates in the “Estimates of Annualized Burden Hours and Costs” section in A.12 of OMB No. 0920-0728 because reporting jurisdictions already collect this information. There will be no increase in burden for the reporting jurisdictions to send those data elements to CDC since most case notifications are submitted from already existing databases.

A.12A. Estimates of Annualized Burden Hours

Type of Respondents	Form Name	Number of Respondents	Number of Responses per Respondent	Average Burden Per Response (in hours)	Total Burden (in hours)
States	Weekly and Annual	50	52	10	26,000
Territories	Weekly and Annual	5	52	5	1,300
Cities	Weekly and Annual	2	52	10	1,040
Total					28,340

A.12B. Estimates of Annualized Cost Burden

Type of Respondents	Form Name	Number of Respondents	Number of Responses per Respondent	Average Burden Per Response (in hours)	Total Burden Hours	Hourly Wage Rate	Respondent Cost
States	Weekly and Annual	50	52	10	26,000	$35.63	$926,380
Territories	Weekly and Annual	5	52	5	1,300	$35.63	$46,319
Cities	Weekly and Annual	2	52	2	1,040	$35.63	$37,055
Total							$1,009,754