Information Collection Request

Foreign Quarantine Regulations (42CFR71)

ICR 202111-0920-006 · OMB 0920-0134 · 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
Form 0920-0134 COVID-2019 Supplemental Questionnaire Form and Instruction Unchanged Repair queued
Form 0920-0134 Enhanced Data Collection During COVID-19 Pandemic Form and Instruction Unchanged Available
Land Travel Illness or Death Investigation Form Form Unchanged Repair queued
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 Removed Repair queued
Application for Permission to Import A Dog Inadequately Immunized Against Rabies Form and Instruction Unchanged Repair queued
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_Non-sub change request_10.29.201.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-11-03 Available
Change Request Memo - Dog Importation.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-07-23 Available
0920-0134 Nonsub Change Request_COVID_9.29.2020_DGMQ.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-09-30 Available
0920-0134 Nonsub Change_COVID Cruise RedCap.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-07-24 Available
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 Repair queued
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 Available
0920-0134 Foreign Quarantine Reg SSA_02272019.doc Supporting Statement A Uploaded 2019-02-28 Repair queued
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
243826 COVID-2019 Supplemental Questionnaire Form and Instruction Unchanged
241195 Enhanced Data Collection During COVID-19 Pandemic Form and Instruction Unchanged
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 Removed
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 202111-0920-006
Active 202107-0920-009
HHS/CDC 0920-0134
Foreign Quarantine Regulations (42CFR71)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 11/03/2021
Retrieve Notice of Action (NOA) 11/03/2021
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
1,144,598 0 1,146,298
329,764 0 329,906
9,411,585 0 9,415,041

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. This Non-Substantive Change Request is submitted by CDC to move the Air Travel Illness or Death Investigation Form from 0920-0134 to 0920-1318.

Statute at Large: 42 Stat. 70
   Statute at Large: 42 Stat. 71
   US Code: 42 USC 264 Name of Law: Public Health Service Act
  
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
42CFR71.32(b)_Importer Documentation of Non Infectiousness (no 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))
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
42CFR71.52(d)_Turtle Importation Permits ((verbal, no form))
42CFR71.55 & 71.32_Dead Bodies--Death Certificates
42CFR71.56(a)(2)_African Rodents--Request for Exemption
42CFR71.56(a)(iii)_Appeal (Importer)
Air Travel Illness or Death Investigation Form 0920-0134 Air Travel Illness or Death Investigation Form
Application for Permission to Import A Dog Inadequately Immunized Against Rabies none, 0920-0134, none Permit to Conditionally Import a Dog Inadequately Immunized against Rabies - Single Entry ,   Application for Permit to Import Dog Inadequately Immunized Against Rabies ,   Application for Special Exemption for a Permitted Dog Import
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
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
Att I_42CFR71.21(b)_Death/Illness Reports from Aircraft
COVID-2019 Supplemental Questionnaire 0920-0134 Supplemental COVID-2019 Questionnaire
Cumulative Influenza/Influenza-Like Illness (ILI) Form none Cumulative Influenza/Influenza-Like Illness (ILI) Form
Enhanced Data Collection During COVID-19 Pandemic 0920-0134 Enhanced Data Collection During COVID-19 Pandemic
Land Travel Illness or Death Investigation Form none Land Travel Illness or Death Investigation Form
Maritime Conveyance Illness or Death Investigation Form (Section 5) 42 CFR 71.21(a) Maritime Conveyance Illness or Death Investigation Form (Section 5)

  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 1,144,598 1,146,298 0 -1,700 0 0
Annual Time Burden (Hours) 329,764 329,906 0 -142 0 0
Annual Cost Burden (Dollars) 9,411,585 9,415,041 0 -3,456 0 0
No
Yes
Changing Forms
Air Travel Illness or Death Investigation Form and burden associated with this collection has been moved to 0920-1318.

$1,601,872
No
    Yes
    No
No
No
No
Yes
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.
11/03/2021