Information Collection Request
[NCEZID] Traveler-based Genomic Surveillance
ICR 202401-0920-002 · OMB 0920-1406 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1406 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-1406 [NCEZID] Traveler-based Genomic Surveillance Questionnaire (24BT) |
Form | Modified | Repair queued |
| Form 0920-1406 Traveler-based Genomic Surveillance Questionnaire |
Form | Modified | Repair queued |
 Change Request Memo.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-01-02 | Repair queued |
| Change Request Memo.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-01-02 | Repair queued |
| RSV question justification v2.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-08-11 | Repair queued |
| RSV question justification v2.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-08-11 | Repair queued |
 Attachment 6-Human Subjects Determination.pdf |
Supplementary Document | Uploaded 2023-03-09 | Available |
| Attachment 6-Human Subjects Determination.pdf |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 5-Privacy Impact Assessment.pdf |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 5-Privacy Impact Assessment.pdf |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 4B - Recruitment Script.docx |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 4B - Recruitment Script.docx |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 4A - Consent.docx |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 4A - Consent.docx |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 2 - 60-day FRN.pdf |
Supplementary Document | Uploaded 2023-03-09 | Available |
| Attachment 2 - 60-day FRN.pdf |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 1D - Authorizing Legislation - Section 311.pdf |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 1D - Authorizing Legislation - Section 311.pdf |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 1C - Authorizing Legislation - Section 301.pdf |
Supplementary Document | Uploaded 2023-03-09 | Available |
| Attachment 1C - Authorizing Legislation - Section 301.pdf |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 1B - Authorizing Legislation - 42 CFR 71.pdf |
Supplementary Document | Uploaded 2023-03-09 | Available |
| Attachment 1B - Authorizing Legislation - 42 CFR 71.pdf |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 1A - Authorizing Legislation - 42 CFR 70.pdf |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| Attachment 1A - Authorizing Legislation - 42 CFR 70.pdf |
Supplementary Document | Uploaded 2023-03-09 | Repair queued |
| 2. Supporting Statement B.docx |
Supporting Statement B | Uploaded 2023-03-09 | Available |
| 2. Supporting Statement B.docx |
Supporting Statement B | Uploaded 2023-03-09 | Repair queued |
| 1. Supporting Statement A_final.docx |
Supporting Statement A | Uploaded 2023-03-09 | Available |
| 1. Supporting Statement A_final.docx |
Supporting Statement A | Uploaded 2023-03-09 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 259028 |  [NCEZID] Traveler-based Genomic Surveillance Questionnaire (24BT) |
Form | Modified | |
| 259028 | Traveler-based Genomic Surveillance Questionnaire |
Form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1406 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202308-0920-006 |
| Agency Tracking No | 0920-1406-24BT |
| Date Submitted to OIRA | 2024-01-04 |
| Requested Expiration Date | 1969-12-31 |