Information Collection Request

Foreign Quarantine Regulations (42CFR71)

ICR 202412-0920-009 · 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 Air Travel Illness or Death Investigation Form Form and Instruction Unchanged Available
Land Travel Illness or Death Investigation Form Form Unchanged Available
Form 0920-25CC Maritime Conveyance Illness or Death Investigation Form (Section 5) Form Modified Available
Cumulative Influenza/Influenza-Like Illness (ILI) Form Form and Instruction Unchanged Repair queued
0920-0134 Change Request-Maritime Conveyance Illness or Death Investigation Form_12.12.2024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-17 Available
0920-0134 Change Request-5.12.2023.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-05-12 Available
Attachment H - IRB Non-Research Determination.pdf Supplementary Document Uploaded 2022-03-30 Available
Attachment G Privacy Impact Assessment.pdf Supplementary Document Uploaded 2022-03-30 Repair queued
Attachment B - 60 Day FRN - 0920-0134.pdf Supplementary Document Uploaded 2022-03-30 Available
0920-0134 Foreign Quarantine Reg SSA3.23.2022_final.docx Supporting Statement A Uploaded 2022-03-30 Available
0920-0134 Foreign Quarantine Reg SSB3.23.2022.docx Supporting Statement B Uploaded 2022-03-30 Available
ICR Details
0920-0134 202412-0920-009
Active 202305-0920-006
HHS/CDC 0920-0134-25CC
Foreign Quarantine Regulations (42CFR71)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/19/2024
Retrieve Notice of Action (NOA) 12/17/2024
  Inventory as of this Action Requested Previously Approved
03/31/2026 03/31/2026 03/31/2026
14,616 0 14,616
2,078 0 2,078
21,910 0 22,027

The goal of this information collection is to facilitate a CDC public health mission as provided under the Public Health Service Act and Code of Federal Regulations. This Non-Substantive Change Request adds the Air Travel Illness or Death Investigation Form that was previously approved under OMB Control No. 0920-1318 and results in an overall reduction in burden due to a reduction in the number of illness or deaths reported.

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

Not associated with rulemaking

  87 FR 977 01/07/2022
87 FR 18797 03/31/2022
Yes

  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 14,616 14,616 0 0 0 0
Annual Time Burden (Hours) 2,078 2,078 0 0 0 0
Annual Cost Burden (Dollars) 21,910 22,027 0 -117 0 0
No
No

$2,616,750
No
    Yes
    No
No
No
No
Yes
Kevin Joyce 404 639-1944 [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.
12/17/2024