Information Collection Request

Foreign Quarantine Regulations (42CFR71)

ICR 202004-0920-008 · OMB 0920-0134 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 42CFR 71.21(a) Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form (Sections 1-4) Form and Instruction Unchanged Available
Enhanced Data Collection During COVID-19 Pandemic Form and Instruction Modified Repair queued
Land Travel Illness or Death Investigation Form Form Unchanged Available
Form 42 CFR 71.21(a) Maritime Conveyance Illness or Death Investigation Form (Section 5) Form and Instruction Unchanged Available
Cumulative Influenza/Influenza-Like Illness (ILI) Form Form and Instruction Unchanged Available
Form 0920-0134 Air Travel Illness or Death Investigation Form Form and Instruction Unchanged Available
Application for Permission to Import A Dog Inadequately Immunized Against Rabies Form and Instruction Unchanged Available
Form CDC 75.37 (f.4.421 Att D_71.51(c)(2)_NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement Form and Instruction Unchanged Repair queued
0920-0134 Nonsub Change_COVID Cruise RedCap_DGMQ.docx Supplementary Document Uploaded 2020-04-13 Available
0920-0134 Nonsub Change_COVID Cruise_V2_20200407.docx Supplementary Document Uploaded 2020-04-07 Available
0920-0134 Nonsub Change_Dog permit.docx Justification for No Material/Nonsubstantive Change Uploaded 2019-04-30 Available
Attachment K - IRB Non-Research Determination.pdf Supplementary Document Uploaded 2018-11-09 Available
Attachment J Privacy Impact Assessment.pdf Supplementary Document Uploaded 2018-11-09 Available
Attachment B 60-day FRN.pdf Supplementary Document Uploaded 2018-11-09 Repair queued
0920-0134 Foreign Quarantine Reg SSA_02272019.doc Supporting Statement A Uploaded 2019-02-28 Available
0920-0134 Foreign Quarantine Reg SSB.docx Supporting Statement B Uploaded 2018-11-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
6646 Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form (Sections 1-4) Form and Instruction Unchanged
241195 Enhanced Data Collection During COVID-19 Pandemic Form and Instruction Modified
234020 Land Travel Illness or Death Investigation Form Form Unchanged
234019 Maritime Conveyance Illness or Death Investigation Form (Section 5) Form and Instruction Unchanged
234012 Cumulative Influenza/Influenza-Like Illness (ILI) Form Form and Instruction Unchanged
233978 Air Travel Illness or Death Investigation Form Form and Instruction Unchanged
218789 42CFR71.51(c)(i)(ii)&(iii)_Exemption Criteria for the Importation of a Dog Unchanged
218788 42CFR71.51(c )(1)(d)_Valid Rabies Vacinnation Certificates ((verbal, no form)) Unchanged
212101 42CFR71.32(b)_Importer Documentation of Non Infectiousness (no form) Unchanged
212099 Application for Permission to Import A Dog Inadequately Immunized Against Rabies Form and Instruction Unchanged
202077 42CFR71.56(a)(iii)_Appeal (Importer) Unchanged
202076 42CFR71.55 & 71.32_Dead Bodies--Death Certificates Unchanged
202075 42CFR71.56(a)(2)_African Rodents--Request for Exemption Unchanged
202072 Att I_42CFR71.21(b)_Death/Illness Reports from Aircraft Unchanged
189698 42CFR71.52(d)_Turtle Importation Permits ((verbal, no form)) Unchanged
189697 Att D_71.51(c)(2)_NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement Form and Instruction Unchanged
189696 42CFR71.51(b)(3) Importer Dogs/Cats: Record of Sickness or Deaths ((verbal, no form)) Unchanged
189693 42CFR71.35_Report of Dealth Illness During Stay in Port ((verbal, no form)) Unchanged
189692 42CFR71.33(c) Report by Persons in Isolation or Surveillance ((no form)) Unchanged
ICR Details
0920-0134 202004-0920-008
Historical Active 202004-0920-003
HHS/CDC 0920-0134-20MV
Foreign Quarantine Regulations (42CFR71)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/24/2020
Retrieve Notice of Action (NOA) 04/14/2020
Previous terms continue: OMB is approving this information collection request; the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the approved period.
  Inventory as of this Action Requested Previously Approved
03/31/2022 03/31/2022 03/31/2022
1,093,752 0 1,093,752
270,660 0 270,660
6,624,662 0 6,624,662

The goal of this information collection is to facilitate a CDC public health mission as provided under the PHSA and Code of Federal Regulations. Collected information is intended to prevent the spread of communicable disease into and within the United States. The change request submitted in April 2020 added a new cruise ship reporting form that will solicit data concerning COVID-19 cases or potential COVID-19 cases; this request adds an electronic version to the recently approved reporting form.

US Code: 42 USC 264 Name of Law: Public Health Service Act
   Statute at Large: 42 Stat. 70 Name of Statute: null
   Statute at Large: 42 Stat. 71 Name of Statute: null
  
None

Not associated with rulemaking

  83 FR 45449 09/07/2018
83 FR 60870 11/27/2018
No

19
IC Title Form No. Form Name
Enhanced Data Collection During COVID-19 Pandemic n/a, none Enhanced Data Collection During COVID-19 Pandemic ,   Enhanced data collection during COVID-19 Pandemic - REDCap
Air Travel Illness or Death Investigation Form 0920-0134 Air Travel Illness or Death Investigation Form
Cumulative Influenza/Influenza-Like Illness (ILI) Form none Cumulative Influenza/Influenza-Like Illness (ILI) Form
Maritime Conveyance Illness or Death Investigation Form (Section 5) 42 CFR 71.21(a) Maritime Conveyance Illness or Death Investigation Form (Section 5)
Land Travel Illness or Death Investigation Form none Land Travel Illness or Death Investigation Form
Application for Permission to Import A Dog Inadequately Immunized Against Rabies none, none Permit to Conditionally Import a Dog Inadequately Immunized against Rabies - Single Entry ,   Application for Permit to Import Dog Inadequately Immunized Against Rabies
42CFR71.32(b)_Importer Documentation of Non Infectiousness (no form)
42CFR71.51(c )(1)(d)_Valid Rabies Vacinnation Certificates ((verbal, no form))
42CFR71.51(c)(i)(ii)&(iii)_Exemption Criteria for the Importation of a Dog
Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form (Sections 1-4) 42CFR 71.21(a) Maritime Conveyance illness or Death Investigation Form
42CFR71.33(c) Report by Persons in Isolation or Surveillance ((no form))
42CFR71.35_Report of Dealth Illness During Stay in Port ((verbal, no form))
42CFR71.51(b)(3) Importer Dogs/Cats: Record of Sickness or Deaths ((verbal, no form))
Att D_71.51(c)(2)_NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement CDC 75.37 (f.4.421) Notice to Owners and Importers of Dogs
42CFR71.52(d)_Turtle Importation Permits ((verbal, no form))
Att I_42CFR71.21(b)_Death/Illness Reports from Aircraft
42CFR71.56(a)(2)_African Rodents--Request for Exemption
42CFR71.55 & 71.32_Dead Bodies--Death Certificates
42CFR71.56(a)(iii)_Appeal (Importer)

  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 1,093,752 1,093,752 0 0 0 0
Annual Time Burden (Hours) 270,660 270,660 0 0 0 0
Annual Cost Burden (Dollars) 6,624,662 6,624,662 0 0 0 0
No
No

$1,601,872
No
    Yes
    No
No
No
No
Yes
Shari Steinberg 404 639-4942 [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.
04/14/2020