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Federal Register / Vol. 86, No. 15 / Tuesday, January 26, 2021 / Notices U.S. territories American Samoa, the Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the U.S.
Virgin Islands, and three freely associated states Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. This information is shared across jurisdictional boundaries and both surveillance and prevention and control activities are coordinated at regional and national levels.
Approximately 90% of case notifications are encrypted and submitted to NNDSS electronically from already existing databases by automated electronic messages. When automated transmission is not possible, case notifications are faxed, emailed, uploaded to a secure network or entered into a secure website. All case notifications that are faxed or emailed are done so in the form of an aggregate weekly or annual report, not individual cases. These different mechanisms used to send case notifications to CDC vary by the jurisdiction and the disease or condition. Jurisdictions remove most personally identifiable information PII

before data are submitted to CDC, but some data elements e.g., date of birth, date of diagnosis, county of residence could potentially be combined with other information to identify individuals. Private information is not disclosed unless otherwise compelled by law. All data are treated in a secure manner consistent with the technical, administrative, and operational controls required by the Federal Information Security Management Act of 2002
FISMA and the 2010 National Institute of Standards and Technology NIST
Recommended Security Controls for Federal Information Systems and Organizations. Weekly tables of nationally notifiable diseases are available through CDC WONDER and data.cdc.gov. Annual summaries of finalized nationally notifiable disease data are published on CDC WONDER
and data.cdc.gov and disease-specific data are published by individual CDC
programs.
The burden estimates include the number of hours that the public health department uses to process and send case notification data from their
jurisdiction to CDC. Specifically, the burden estimates include separate burden hours incurred for automated and non-automated transmissions, separate weekly burden hours incurred for modernizing surveillance systems as part of NNDSS Modernization Initiative NMI implementation, separate burden hours incurred for annual data reconciliation and submission, and separate one-time burden hours incurred for the addition of new diseases and data elements. The burden estimates for the one-time burden for reporting jurisdictions are for the addition of case notification data for MIS associated with COVID19; diseasespecific data elements for Anthrax, Brucellosis, Campylobacteriosis, Cholera, Cryptosporidiosis, Hansens Disease, Leptospirosis, Melioidosis, MIS
associated with COVID19, COVID19, S. Paratyphi Infection, S. Typhi Infection, Salmonellosis, STEC, Shigellosis, and Vibriosis; and vaccine data elements for all diseases. The estimated annual burden for the 257
respondents is 18,954 hours.

ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondents
States States States States States

Territories Territories Territories Territories Territories

Freely Freely Freely Freely
Associated Associated Associated Associated
States States States States

Cities Cities Cities Cities Cities

Number of responses per respondent
Number of respondents
Form name
Weekly Automated
Weekly Non-automated
Weekly NMI Implementation
Annual
One-time Addition of Diseases and Data Elements.
Weekly Automated
Weekly, Quarterly Non-automated
Weekly NMI Implementation
Annual
One-time Addition of Diseases and Data Elements.
Weekly Automated
Weekly, Quarterly Non-automated
Annual
One-time Addition of Diseases and Data Elements.
Weekly Automated
Weekly Non-automated
Weekly NMI Implementation
Annual
One-time Addition of Diseases and Data Elements.

50
10
50
50
50

52
52
52
1 1

20/60
2 4
75
12

5
5 5
5 5

52
56
52
1 1

20/60
20/60
4 5
12

3
3 3
3

52
56
1 1

20/60
20/60
5 12

2
2 2
2 2

52
52
52
1 1

20/60
2 4
75
12

Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Scientific Integrity, Office of Science, Centers for Disease Control and Prevention.
FR Doc. 202101619 Filed 12521; 8:45 am BILLING CODE 416318P

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Average burden per response in hours
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