OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Report of Illness or Death: Interstate Travel of Persons (42 CFR part 70)

ICR 202206-0920-013 · OMB 0920-0488 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-0488 42 CFR 70.11 Report of death or illness onboard aircraft operated by airline Form and Instruction Modified Available
Form 0920-0488 42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel Form and Instruction Modified Repair queued
Attachment F 0920-0488 CDC Non-research determination.pdf Supplementary Document Uploaded 2022-06-24 Repair queued
Attachment E Privacy Impact Assessment.pdf Supplementary Document Uploaded 2022-06-24 Repair queued
Attachment D CDC FAA Memorandum of Agreement.pdf Supplementary Document Uploaded 2022-06-24 Repair queued
Attachment C Public Comment-0920-0488-Final.docx Supplementary Document Uploaded 2022-06-24 Repair queued
Attachment B 60-Day FRN-4.1.2022.pdf Supplementary Document Uploaded 2022-06-24 Repair queued
SSB_Interstate Travel_0920-0488_24JUN2022.docx Supporting Statement B Uploaded 2022-06-24 Repair queued
SSA_Interstate Travel_0920-0488_24JUN2022.docx Supporting Statement A Uploaded 2022-06-24 Missing upstream
Attachment 1C 42 CFR 70.pdf Supplementary Document Uploaded 2015-12-03 Repair queued
Attachment 1B 42 CFR 71.pdf Supplementary Document Uploaded 2015-12-03 Repair queued
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).pdf Supplementary Document Uploaded 2015-12-03 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
234025 42 CFR 70.11 Report of death or illness onboard aircraft operated by airline Form and Instruction Modified
205723 42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel Form and Instruction Modified
ICR Details
0920-0488 202206-0920-013
Received in OIRA 201810-0920-002
HHS/CDC 0920-0488
Report of Illness or Death: Interstate Travel of Persons (42 CFR part 70)
Revision of a currently approved collection   No
Regular 06/29/2022
  Requested Previously Approved
36 Months From Approved 06/30/2022
1,600 200
186 23
0 0
The goal of this information collection is to ensure that CDC can collect data related to communicable diseases or deaths that occur aboard conveyances during interstate travel within the United States. Data is used by CDC to assess and respond to reports of communicable disease or death that occur on conveyances engaged in interstate travel, and assist state and local health authorities if an illness or death occurs that poses a risk to public health. As required by regulation, all instances of communicable disease characterized by certain signs and symptoms must be reported to the local health authority with jurisdiction over the arrival port. CDC has accepted reports to CDC as fulfilling this requirement. CDC also requests reports of all deaths occurring during domestic flights.In this Revision, CDC is requesting approval for an additional three years. The total burden hours from the last revision has increased from 23 to 186 hours. This is due to more reports coming in related to the COVID-19 pandemic.
US Code: 42 USC 241 Name of Law: Public Health Service Act
   US Code: 42 USC 70-71 Name of Law: Interstate Quarantine
  
None
Not associated with rulemaking
  87 FR 19093 04/01/2022
87 FR 38759 06/29/2022
Yes
  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 1,600 200 0 1,400 0 0
Annual Time Burden (Hours) 186 23 0 163 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Revision of 0920-0488 is submitted to permit continued collection of data and to more accurately reflect change in burden (increase to 186 burden hours annually) as a result of COVID-19 pandemic.
$438,168
Yes Part B of Supporting Statement
    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.
06/29/2022