OMB control number

[NCEH] Maritime Illness Database and Reporting System (MIDRS)

OMB 0920-1260 · HHS/CDC.

OMB 0920-1260

The CDC’s Vessel Sanitation Program (VSP) is requesting a 3-year Paperwork Reduction Act (PRA) clearance for this revision information collection request (ICR). In the past three years, the VSP has received 13,352 AGE reports to through its “Maritime Illness Database and Reporting System (MIDRS)” (OMB Control No. 0920-1260; expiration date 04/30/2022). Since the first quarter of 2020, the COVID-19 pandemic disrupted the number of cruise ship voyages operating to U.S. ports of call. Between March 2020 and October 2021, cruise industry operations were suspended under a federally issued No Sail Order, and then subsequently under a Conditional Sailing Order to prevent the risk of introducing, transmitting, and spreading COVID-19 by cruise ship travelers. As a result, the number of AGE reports submitted to MIDRS in 2020 and 2021 was substantially lower (n=2,667 and n=1,717, respectively), compared to 2019 (n=8,968). The information collected by the VSP is designed to align with and support the collaboration between the cruise ship industry and government to define and reduce health risks associated with vessels and to ensure a healthful and clean environment for vessels’ passengers and crew.

The latest form for [NCEH] Maritime Illness Database and Reporting System (MIDRS) expires 2026-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1260 Recordkeeping of Engineering and Sanitation Records Form and Instruction
Form 0920-1260 72-hour Food/Activity History Template (AGE cases) Form and Instruction
Form 0920-1260 Last Symptom Check and Return to Work Clearance (food and nonfood employees) Form and Instruction
Form 0920-1260 Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew) Form and Instruction
Form 0920-1260 Three-day Pre-embarkation AGE Illness Assessment (all crew members) Form and Instruction
Form 0920-26-0121 VSP_72-hrFoodActivityHistoryForm Form
Form 0920-1260 Recordkeeping of AGE Surveillance Records Form and Instruction
Form 0920-26-0121 VSP AGE Log Form
Form 0920-1260 Daily Reports of AGE Logs Form and Instruction
Form 092-1260 Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax) Form and Instruction
Form 0920-1260 Att5a2 4 hr AGEIllnssRprt (phone email fax) 20220125 Form and Instruction
Form 0920-1260 AGE Illness Report 4 hours before arrival (web) Form and Instruction
Form 0920-1260 AGE Illness Report 24 hours before arrival (phone/email/fax) Form and Instruction
Form 0920-26-0121 AGE Illness Report 24 Hours Before Form
Form 0920-1260 AGE Illness Report 24 hours before arrival (web) Form and Instruction
Attachment 4c.pdf (document unavailable) Public Comments
Attachment 4b.pdf Public Comments
Attachment 4a.pdf Public Comments
Attachment 4_0920-1260_60D FRN.pdf Supplementary Document
Attachment 3_ 42 CFR Part 71_Foreign Quarantine.pdf Supplementary Document
Attachment 2b_42USCSection269.pdf Supplementary Document
Attachment 2a_42USCSection264.pdf Supplementary Document
Attachment 1_VSP Environmental Public Health Standards.pdf Supplementary Document
30_Day_FRN_CDC__2026.docx Supplementary Document
Att8 IntlConventionofSafetyofLifeatSea.pdf Supplementary Document
Att7 ResearchDeterminationForm 20210916.pdf Supplementary Document
1 - VSP MIDRS Revision List Attachments 20220125.docx Supplementary Document
Att4b.VSP2018OperationsManual.pdf Supplementary Document
Att4a.42CFR71.1bii.pdf Supplementary Document
Att3b. 1987FRN_VSPfromDGMQtoNCEH.pdf (document unavailable) Supplementary Document
Att3a.1985FRN_VSPinDGMQ.pdf Supplementary Document
Att2. MIDRS_60D_FRN.pdf Supplementary Document
Att1c. 42CFRPart71 -- Foreign Quarantine.pdf (document unavailable) Supplementary Document
Att1b.42USCSection269.pdf Supplementary Document
Att1a. 42USCSection264.pdf Supplementary Document
0 - Privacy Act Checklist MIDRS Rev 20220125.docx Supplementary Document
1 - SSB_MIDRS Extension_2 19 2026.docx Supporting Statement B
1 - SSA_MIDRS Extension_2 19 2026.docx (document unavailable) Supporting Statement A
Recordkeeping of Engineering and Sanitation Records Form and Instruction
Recordkeeping of Engineering and Sanitation Records Form and Instruction
(Passenger) 72-hour Food/Activity History Template (AGE cases) Form and Instruction
(Passenger) 72-hour Food/Activity History Template (AGE cases) Form and Instruction
Last Symptom Check and Return to Work Clearance (food and nonfood employees) Form and Instruction
Last Symptom Check and Return to Work Clearance (food and nonfood employees) Form and Instruction
Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew) Form and Instruction
Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew) Form and Instruction
Three-day Pre-embarkation AGE Illness Assessment (all crew members) Form and Instruction
Three-day Pre-embarkation AGE Illness Assessment (all crew members) Form and Instruction
(CREW) 72-hour Food/Activity History Template (AGE cases) Form
(CREW) 72-hour Food/Activity History Template (AGE cases) Form
Recordkeeping of AGE Surveillance Records Form and Instruction
Recordkeeping of AGE Surveillance Records Form and Instruction
Daily Reports of AGE Logs Form
Daily Reports of AGE Logs Form and Instruction
Daily Reports of AGE Logs Form and Instruction
Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax) Form and Instruction
Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax) Form and Instruction
AGE Illness Report 4 hours before arrival (phone/email/fax) Form and Instruction
AGE Illness Report 4 hours before arrival (phone/email/fax) Form and Instruction
AGE Illness Report 4 hours before arrival (web) Form and Instruction
AGE Illness Report 4 hours before arrival (web) Form and Instruction
AGE Illness Report 24 hours before arrival (phone/email/fax) Form and Instruction
AGE Illness Report 24 hours before arrival (phone/email/fax) Form and Instruction
AGE Illness Report 24 hours before arrival (web) Form
AGE Illness Report 24 hours before arrival (web) Form and Instruction
AGE Illness Report 24 hours before arrival (web) Form and Instruction

All Historical Document Collections

202603-0920-012	Extension without change of a currently approved collection	2026-03-18
202204-0920-002 Approved without change	Revision of a currently approved collection	2022-04-05
201812-0920-009 Approved without change	New collection (Request for a new OMB Control Number)	2019-03-04

OMB Details

71.21(c) Gastrointestinal Illness Report - 24 and 4 hours before arrival (MIDRS)

Federal Enterprise Architecture: Health - Public Health Monitoring

Form NA	Gastrointestinal Illness (GI) Template	NA	Form and instruction
Form NA	MIDRS Template - screenshot	NA	Form and instruction

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