Maritime Illness Database and Reporting System (MIDRS)

OMB Control No: 0920-1260	ICR Reference No: 202204-0920-002
Status: Received in OIRA	Previous ICR Reference No: 201812-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1260
Title: Maritime Illness Database and Reporting System (MIDRS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/05/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2022
Responses	10,109,580	13,750
Time Burden (Hours)	5,782,228	1,538
Cost Burden (Dollars)	0	0

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Abstract: The CDC’s Vessel Sanitation Program (VSP) is requesting a 3-year Paperwork Reduction Act (PRA) clearance for this revision information collection request (ICR). In the past three years, the VSP has received 13,352 AGE reports to through its “Maritime Illness Database and Reporting System (MIDRS)” (OMB Control No. 0920-1260; expiration date 04/30/2022). Since the first quarter of 2020, the COVID-19 pandemic disrupted the number of cruise ship voyages operating to U.S. ports of call. Between March 2020 and October 2021, cruise industry operations were suspended under a federally issued No Sail Order, and then subsequently under a Conditional Sailing Order to prevent the risk of introducing, transmitting, and spreading COVID-19 by cruise ship travelers. As a result, the number of AGE reports submitted to MIDRS in 2020 and 2021 was substantially lower (n=2,667 and n=1,717, respectively), compared to 2019 (n=8,968). The information collected by the VSP is designed to align with and support the collaboration between the cruise ship industry and government to define and reduce health risks associated with vessels and to ensure a healthful and clean environment for vessels’ passengers and crew.

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Authorizing Statute(s): US Code: 42 USC 264 Name of Law: U.S. PHSA    US Code: 42 USC 269 Name of Law: U.S. PHSA

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 58915	10/25/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 19095	04/01/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 13

IC Title Form No. Form Name (CREW) 72-hour Food/Activity History Template (AGE cases) 0920-1260 72-hour Food/Activity History Template (AGE cases) (Passenger) 72-hour Food/Activity History Template (AGE cases) 0920-1260 72-hour Food/Activity History Template (AGE cases) 71.21 (c) 72-hour food/activity history - AGE Passenger and Crew cases NA 72-hr Food/Activity History Template 71.21 (c) AGE Logs NA VSP AGE Log 71.21 (c) Documentation of 3-day pre-embarkation AGE illness assessment for all crew members NA Documentation of 3-day pre-embarkation AGE illness assessment 71.21 (c) Documentation of date/time of last symptom and clearance to return to work for food and nonfood employees NA Documentation of Last Symptom and Clearance to Return to Work 71.21 (c) Interviews with AGE crew case cabin mates and immediate contacts to determine AGE illness status and documentation of interview dates/times NA Documentation of Interviews with AGE Crew Case Cabin Mates and Immediate Contacts to Determine AGE Illness Status 71.21 (c) Recordkeeping - medical records (72-hour food/activity history) NA Gastrointestinal Illness Surveillance System Questionnaire 71.21 (c) Recordkeeping – medical records (AGE Logs) NA VSP AGE Log 71.21 (c) Recordkeeping – medical records (Documentation of date/time of last symptom and clearance to return to work for food and nonfood employees) NA Documentation of Last Symptom and Clearance to Return to Work 71.21 (c) Recordkeeping – medical records (Interviews with AGE crew case cabin mates and immediate contacts to determine AGE illness status and documentation of interview dates/times) NA Documentation of Interviews with AGE Crew Case Cabin Mates and Immediate Contacts to Determine AGE Illness Status 71.21(c) Gastrointestinal Illness Report - 24 and 4 hours before arrival (MIDRS) NA, NA Gastrointestinal Illness (GI) Template ,   MIDRS Template - screenshot 71.21(c) Recordkeeping - Gastrointestinal Illnesses Report 24 and 4 hours before arrival NA Recordkeeping - MIDRS Template 71.21(c) Recordkeeping - medical records (Documentation of 3-day pre-embarkation AGE illness assessment for all crew members) NA Documentation of 3-day pre-embarkation AGE illness assessment AGE Illness Report 24 hours before arrival (phone/email/fax) 0920-1260 AGE Illness Report 24 hours before arrival (phone/email/fax) AGE Illness Report 24 hours before arrival (web) 0920-1260 AGE Illness Report 24 hours before arrival (web) AGE Illness Report 4 hours before arrival (phone/email/fax) 0920-1260 Att5a2 4 hr AGEIllnssRprt (phone email fax) 20220125 AGE Illness Report 4 hours before arrival (web) 0920-1260 AGE Illness Report 4 hours before arrival (web) Daily Reports of AGE Logs 0920-1260 Daily Reports of AGE Logs Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew) 0920-1260 Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew) Last Symptom Check and Return to Work Clearance (food and nonfood employees) 0920-1260 Last Symptom Check and Return to Work Clearance (food and nonfood employees) Recordkeeping of AGE Surveillance Records 0920-1260 Recordkeeping of AGE Surveillance Records Recordkeeping of Engineering and Sanitation Records 0920-1260 Recordkeeping of Engineering and Sanitation Records Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax) 092-1260 Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax) Three-day Pre-embarkation AGE Illness Assessment (all crew members) 0920-1260 Three-day Pre-embarkation AGE Illness Assessment (all crew members)

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ICR Summary of Burden

	Total Request	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	10,109,580	13,750	0	10,081,830	14,000	0
Annual Time Burden (Hours)	5,782,228	1,538	0	5,778,244	2,446	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The overarching goal of this ICR is to improve AGE illness reporting by the cruise industry while also improving the reporting systems in order to achieve a measurable health impact.CDC has revised its burden estimates for an increase of 10,103,030 annual responses (n=10,116,780) compared to that approved in 2019 (n=13,750). CDC also estimates the total annualized time burden is 5,782,228 hours, which is an increase of 5,780,690 hours compared to the previously approved 1,538 hours.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

Agency Contact: Odion Clunis 770 488-0045 [email protected]

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 04/05/2022

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