[NCEZID] Land Travel-related Public Health Activities

OMB Control No: 0920-0134	ICR Reference No: 202603-0920-008
Status: Received in OIRA	Previous ICR Reference No: 202412-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-26-0139
Title: [NCEZID] Land Travel-related Public Health Activities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/19/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	590	14,616
Time Burden (Hours)	156	2,078
Cost Burden (Dollars)	0	21,910

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Abstract: 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 Revision consolidates land travel-related public health information collections under one OMB control number, thereby improving efficiency of CDC’s land travel-related activities PRA submission process. It modifies current forms and add/deletes other forms which results in a burden change.

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Authorizing Statute(s): Statute at Large: 42 Stat. 70    Statute at Large: 42 Stat. 71    US Code: 42 USC 264 Name of Law: Public Health Service Act

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:
	91 FR 1320	01/13/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 12805	03/17/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 7

IC Title Form No. Form Name 42CFR71.33(c) Report by Persons in Isolation or Surveillance ((no form)) 42CFR71.35_Report of Dealth Illness During Stay in Port ((verbal, no form)) Air Travel Illness or Death Investigation Form 0920-0134 Air Travel Illness or Death Investigation Form Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form (Sections 1-4) 42CFR 71.21(a) Maritime Conveyance illness or Death Investigation Form Att I_42CFR71.21(b)_Death/Illness Reports from Aircraft Cumulative Influenza/Influenza-Like Illness (ILI) Form none Cumulative Influenza/Influenza-Like Illness (ILI) Form Domestic Land Conveyance Manifest Order Template General Land Contact Investigation Outcome Reporting Form n/a General Land Conveyance Contact Investigation Outcome Reporting Form International Land Conveyance Manifest Order Template Land Passenger Locator Form n/a Public Health Land Passenger Locator Form Land Travel Illness or Death Investigation Form none Land Travel Illness or Death Investigation Form Maritime Conveyance Illness or Death Investigation Form (Section 5) 0920-25CC Maritime Conveyance Illness or Death Investigation Form Section 5 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 TB Land Contact Investigation Outcome Reporting Form n/a Tuberculosis Land Conveyance Contact Investigation Outcome Reporting Form

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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	590	14,616	0	-14,026	0	0
Annual Time Burden (Hours)	156	2,078	0	-1,922	0	0
Annual Cost Burden (Dollars)	0	21,910	0	-21,910	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 burden change is due to adding and removing forms.

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Annual Cost to Federal Government: $214,197

Does this IC contain surveys, censuses, or employ statistical methods? No

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: Kevin Joyce 404 639-1944 [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: 03/19/2026

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