OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Airline and Vessel and Traveler Information Collection (42 CFR Part 71)

ICR 201701-0920-005 · OMB 0920-1180 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
International Non-TB Manifest Template Form and Instruction New Available
International TB Manifest Template Form and Instruction New Available
0920-XXXX_INTL Manifest Supporting Statement Part B 01132017.doc Supporting Statement B Uploaded 2017-01-13 Available
0920-XXXX_INTL Manifest Supporting Statement Part A 01132017.doc Supporting Statement A Uploaded 2017-01-13 Available
Attachment 10 Receipt of manifest letter.doc Supplementary Document Uploaded 2017-01-13 Available
Attachment 9 Informal manifest request template.doc Supplementary Document Uploaded 2017-01-13 Available
Attachment 8 IATA Passenger Manifest Information Request Form.pdf Supplementary Document Uploaded 2017-01-13 Available
Attachment 7 Order Cover Letter.doc Supplementary Document Uploaded 2017-01-13 Available
Attachment 4 CDC Nonresearch determination Letter.pdf Supplementary Document Uploaded 2017-01-13 Available
Attachment 3 QARS Privacy Impact Assessment.pdf Supplementary Document Uploaded 2017-01-13 Available
Attachment 2 - 60 Day FRN.docx Supplementary Document Uploaded 2017-01-13 Available
Attachment 1C 42 CFR part 70.pdf Supplementary Document Uploaded 2017-01-13 Available
Attachment 1B 42 CFR part 71.pdf Supplementary Document Uploaded 2017-01-13 Available
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).pdf Supplementary Document Uploaded 2017-01-13 Available
IC Document Collections
IC IDCollectionTypeStatusForm
225158 International Non-TB Manifest Template Form and Instruction New
225157 International TB Manifest Template Form and Instruction New
ICR Details
0920-1180 201701-0920-005
Historical Active
HHS/CDC 16AVM
Airline and Vessel and Traveler Information Collection (42 CFR Part 71)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 05/02/2017
Retrieve Notice of Action (NOA) 01/13/2017
Approved consistent with the understanding that this new ICR is affiliated with rulemaking updating 42 CFR Part 71. That final rule includes retrospective review requirements mandating that “no later than February 18, 2019, the Secretary or Director will publish and seek comment on a report evaluating the burden of this section on affected entities and duplication of activities in relation to mandatory passenger data submissions to DHS/ CBP. The report will specifically recommend actions that streamline and facilitate use and transmission of any duplicate information collected.” If any changes associated with this ICR to the collection instruments or type of information gathered is implemented as a result of the retrospective activities described previously---CDC will submit these changes to OMB for review and approval.
  Inventory as of this Action Requested Previously Approved
05/31/2020 36 Months From Approved
96 0 0
576 0 0
0 0 0
The goal of this information collection is to ensure that, consistent with the terms of the accompanying rulemaking, CDC can collect conveyance, passenger, and crew member manifest information in the event an individual with a confirmed or suspected case of a communicable disease is known to have traveled on an airline or vessel while infectious or potentially infectious and presented a risk of spread to other passengers or crew, and so that CDC can initiate the process of contact tracing or provision of other public health follow up to prevent further disease spread.
US Code: 42 USC 264 Name of Law: U.S. PHSA
  
None
0920-AA63 Final or interim final rulemaking 82 FR 6890 01/19/2017
  81 FR 54230 08/15/2016
81 FR 54230 08/15/2016
Yes
  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 96 0 0 96 0 0
Annual Time Burden (Hours) 576 0 0 576 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Submission of 0920-16AVM is a New ICR accompanying a final rule.
$344,992
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [email protected]
  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.
01/13/2017