OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

[CPR] U.S. National Authority for Containment of Poliovirus Data Collection Tools

ICR 202509-0920-009 · OMB 0920-1424 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1424 Global Action Plan (GAP) Poliovirus Containment Poliovirus-Essential Facility Questionnaire Form and Instruction Modified Repair queued
Form 0920-1424 Att 6_ Global Action Plan (GAP) Poliovirus Containment Poliovirus-Essential Facility Questionnaire Form and Instruction Modified Repair queued
Form 0920-1424 Appeals and Complaints Form and Instruction Modified Repair queued
Form 0920-1424 Appeals Form and Instruction Modified Repair queued
Form 0920-1424 Facility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE Form and Instruction Modified Available
Form 0920-1424 Att 4_ Facility Incident Reporting Form FOR POLIOVIRUS THEFT or LOSS Form and Instruction Modified Repair queued
Form 0920-1424 Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater (WW) Systems Supporting a Poliovirus- Essential Facility (PEF) in the United States Form and Instruction Modified Available
Form 0920-1424 Att 8- Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater (WW) Systems Supporting a Poliovirus- Essential Facility (PEF) in the United States Form and Instruction Modified Missing upstream
Form 0920-1424 Personal Protective Equipment Survey for Laboratories Form and Instruction Modified Repair queued
Form 0920-1424 Att 7 _Personal Protective Equipment Survey for Laboratories Form and Instruction Modified Missing upstream
Form 0920-1424 Facility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE Form and Instruction Modified Available
Form 0920-1424 Att 3_ Facility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE Form and Instruction Modified Repair queued
ORR-NAC-30-Day Draft FRN_2025 Revision.docx Supplementary Document Uploaded 2025-11-24 Available
ORR-NAC-30-Day Draft FRN_2025 Revision.docx Supplementary Document Uploaded 2025-11-24 Repair queued
Att 10 - Non-research determination.pdf Supplementary Document Uploaded 2025-11-24 Repair queued
Att 10 - Non-research determination.pdf Supplementary Document Uploaded 2025-11-24 Repair queued
Att 1b-OSH Act of 1977_29 USC 669 Section 20(a)(1)).pdf Supplementary Document Uploaded 2025-11-24 Repair queued
Att 1b-OSH Act of 1977_29 USC 669 Section 20(a)(1)).pdf Supplementary Document Uploaded 2025-11-24 Repair queued
Att 1a - Federal Information Policy, 44 USC Sect. 3501.pdf Supplementary Document Uploaded 2025-11-24 Repair queued
Att 1a - Federal Information Policy, 44 USC Sect. 3501.pdf Supplementary Document Uploaded 2025-11-24 Missing upstream
Att 9 -Non-research determination.pdf Supplementary Document Uploaded 2023-11-03 Repair queued
Att 9 -Non-research determination.pdf Supplementary Document Uploaded 2023-11-03 Missing upstream
Att1b-OSH Act of 1977_29 USC 669 Section 20(a)(1)).pdf Supplementary Document Uploaded 2023-11-03 Repair queued
Att1b-OSH Act of 1977_29 USC 669 Section 20(a)(1)).pdf Supplementary Document Uploaded 2023-11-03 Repair queued
Att1a - Federal Information Policy, 44 USC Sect. 3501.pdf Supplementary Document Uploaded 2023-11-03 Repair queued
Att1a - Federal Information Policy, 44 USC Sect. 3501.pdf Supplementary Document Uploaded 2023-11-03 Repair queued
Att1 - Public Health Service Act, Section 2102_42 U.S.C. 300a-2.pdf Supplementary Document Uploaded 2023-11-03 Repair queued
Att1 - Public Health Service Act, Section 2102_42 U.S.C. 300a-2.pdf Supplementary Document Uploaded 2023-11-03 Repair queued
SSB-ORR-NAC-0920-1424-25Revision_250916.docx Supporting Statement B Uploaded 2025-11-24 Repair queued
SSB-ORR-NAC-0920-1424-25Revision_250916.docx Supporting Statement B Uploaded 2025-11-24 Missing upstream
SSA-ORR-NAC-0920-1424-25Revision_250916_OIRA 12.29.25_clean.docx Supporting Statement A Uploaded 2026-01-27 Repair queued
SSA-ORR-NAC-0920-1424-25Revision_250916.docx Supporting Statement A Uploaded 2025-11-24 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
263225 Att 6_ Global Action Plan (GAP) Poliovirus Containment Poliovirus-Essential Facility Questionnaire Form and Instruction ModifiedGlobal Action Plan (GAP) Poliovirus Containment Poliovirus-Essential Facility Questionnaire
263225 Att 6_ Global Action Plan (GAP) Poliovirus Containment Poliovirus-Essential Facility Questionnaire Form and Instruction Modified
263224 Appeals Form and Instruction ModifiedAppeals and Complaints
263224 Appeals Form and Instruction Modified
263223 Att 4_ Facility Incident Reporting Form FOR POLIOVIRUS THEFT or LOSS Form and Instruction ModifiedFacility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE
263223 Att 4_ Facility Incident Reporting Form FOR POLIOVIRUS THEFT or LOSS Form and Instruction Modified
263170 Att 8- Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater (WW) Systems Supporting a Poliovirus- Essential Facility (PEF) in the United States Form and Instruction ModifiedPoliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater (WW) Systems Supporting a Poliovirus- Essential Facility (PEF) in the United States
263170 Att 8- Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater (WW) Systems Supporting a Poliovirus- Essential Facility (PEF) in the United States Form and Instruction Modified
263163 Att 7 _Personal Protective Equipment Survey for Laboratories Form and Instruction ModifiedPersonal Protective Equipment Survey for Laboratories
263163 Att 7 _Personal Protective Equipment Survey for Laboratories Form and Instruction Modified
263162 Att 3_ Facility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE Form and Instruction ModifiedFacility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE
263162 Att 3_ Facility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE Form and Instruction Modified
ICR Details
0920-1424 202509-0920-009
Active 202311-0920-001
HHS/CDC 0920-1424
[CPR] U.S. National Authority for Containment of Poliovirus Data Collection Tools
Revision of a currently approved collection   No
Regular
Approved with change 01/27/2026
Retrieve Notice of Action (NOA) 11/24/2025
  Inventory as of this Action Requested Previously Approved
01/31/2029 36 Months From Approved 12/31/2026
90 0 100
109 0 126
0 0 0
In 2018, HHS designated the Centers for Disease Control and Prevention (CDC) as the National Authority for Containment of Poliovirus (U.S. NAC) for the United States. The U.S. NAC is located in the Center for Preparedness and Response (CPR). The role of the U.S. NAC is to ensure that the requirements established in the World Health Organization (WHO) Global Action Plan (GAP) III and IV standards are effectively implemented and maintained in poliovirus- essential facilities. Part of this standard includes emergency planning, the implementation of surveillance following an incident, and the reporting of facility-associated poliovirus events to the U.S. NAC. Risk assessments following an incident are a critical component for adequate application of the GAPIII/GAPIV standard and efficient emergency response. The goal of the project is to collect data in the event of a poliovirus breach of containment - as well as to understand the biosafety practices of facilities working on poliovirus and mitigations strategies in place to reduce risks. These goals are in line with World Health Organization's Global Action Plan (GAP) for Poliovirus containment efforts. This information will assist with meeting the goals of the Section 361 of the Public Health Service (PHS) Act (42 U.S.C. 264) and prevents the introduction, transmission, or spread of communicable diseases from foreign countries into the States or possessions, or from one State or possession into any other State or possession.
US Code: 44 USC 3501 Name of Law: Federal Information Policy
   US Code: 29 USC 669 20(a)(1) Name of Law: OSH Act of 1977
   US Code: 42 USC 300a-2 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  89 FR 87581 11/04/2024
90 FR 47751 10/02/2025
No
  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 90 100 0 -10 0 0
Annual Time Burden (Hours) 109 126 0 -17 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
This a a revision for the approval of 109 annual burden hours.
$7,681
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Odion Clunis 770 488-0045 [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.
11/24/2025