Information Collection Request

Foreign Quarantine Regulations

ICR 201204-0920-005 · OMB 0920-0134 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 71.21 (a) Radio Report of Death/Illness Report from Ships Form and Instruction Modified Repair queued
Form 2 Recordkeeping--Medical Logs (Maritime), Title 71.21 (c) Form New Available
Form 2 Gastrointestinal Illness Reports 24 and 4 hours before Arrival (VSP) Title 71.21. (c) Form New Repair queued
Form 6 71.53(d) Importer registration -Nonhuman primates Form and Instruction Modified Repair queued
Form 5 Dogs/Cats: Certification of confinement, vaccination, CDC form 75.37. Title 71.51(d) Form and Instruction Modified Repair queued
Form 4 Locator Form used for Reporting of an Ill Passenger(s) (Airport) Form Modified Repair queued
Form 4 Public Health Passenger Locator Form - Outbreak Aircraft Form and Instruction Modified Repair queued
Attachment 2 42 CFR 70 and 71.pdf Supplementary Document Uploaded 2012-04-23 Available
Attachment 1- Section 361 of the Public Health Service Act 42 USC 264.docm Supplementary Document Uploaded 2012-04-23 Available
Attachment 2 42 CFR 70 and 71.pdf Supplementary Document Uploaded 2012-04-23 Available
Attachment 5 Reportable Medical Conditions.docx Supplementary Document Uploaded 2012-04-23 Repair queued
Attachment 2 42 CFR 70 and 71.pdf Supplementary Document Uploaded 2012-04-23 Available
Attachment 2 42 CFR 70 and 71.pdf Supplementary Document Uploaded 2012-04-23 Available
Supporting_Statement_-Part_A_6_06_2012 0920-0134 revised.doc Supporting Statement A Uploaded 2012-06-06 Available
ICR Details
0920-0134 201204-0920-005
Historical Active 201110-0920-002
HHS/CDC
Foreign Quarantine Regulations
Revision of a currently approved collection   No
Regular
Approved with change 07/02/2012
Retrieve Notice of Action (NOA) 04/25/2012
Previous terms continue: OMB does not approve CDC's request not to display the OMB control number on the Passenger Locator Card.
  Inventory as of this Action Requested Previously Approved
07/31/2015 36 Months From Approved 06/30/2012
2,740,728 0 2,711,691
227,330 0 225,760
0 0 0

Section 361 of the Public Health Service Act (42 U.S.C. 264) authorizes the Secretary of Health and Human Services to make and enforce regulations necessary to prevent the introduction, transmission or spread of communicable diseases.

Statute at Large: 42 Stat. 71 Name of Statute: null
   US Code: 42 USC 264 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  77 FR 8875 02/15/2012
77 FR 24207 04/23/2012
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 2,740,728 2,711,691 0 42 28,995 0
Annual Time Burden (Hours) 227,330 225,760 0 32 1,538 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The revision is small increase in burden hours from 225,760 to 227,330. More accurate data concerning aviation and maritime reports is available, which led to a reassessment of the estimated total public burden associated with the reporting and recordkeeping requirements.

$65,753
No
No
No
No
No
Uncollected
Petunia Gissendaner 4046390164

  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.
04/25/2012