[NCEZID] Contact Investigation Outcome Reporting Forms

This is a request for revision to a currently approved information collection, OMB Control No 0920-0900, Contact Investigation Outcome Reporting Forms. The goal of this information collection is to obtain sufficient information on the results of contact investigations carried out by state, local, and territorial public health professionals or maritime medical crews to assess the impact of a potential or confirmed communicable disease of public health concern in a traveler, both in terms of further transmission of disease, health outcomes for cases and contacts, and to determine if further public health intervention is appropriate. These collections enable CDC to better assess the risk to individuals who may have been exposed to a potential or confirmed case of a communicable disease of concern while traveling to or within the United States. The information will be used to assist and collaborate with state, local, and territorial health departments, conveyance operators, port of entry partners, and international public health authorities to identify potential exposures and to determine the risk of infection and whether future public health interventions are needed. CDC is requesting changes to some of the forms in use under this control number, primarily the air travel-related contact investigation outcome reporting forms (TB, measles, rubella, and general). The changes are being requested to improve the quality and public health relevance of the information collected and reduce the burden on health departments.

The latest form for [NCEZID] Contact Investigation Outcome Reporting Forms expires 2027-09-30 and can be found here.

Att L_General Land Contact Investigation Outcome Reporting Form

Federal Enterprise Architecture: Health - Public Health Monitoring

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.