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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0134
ICR Reference No:
202111-0920-006
Status:
Historical Active
Previous ICR Reference No:
202107-0920-009
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0134
Title:
Foreign Quarantine Regulations (42CFR71)
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
11/03/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/03/2021
Terms of Clearance:
Previous terms continue: OMB is approving this information collection request; the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the approved period.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2022
03/31/2022
03/31/2022
Responses
1,144,598
0
1,146,298
Time Burden (Hours)
329,764
0
329,906
Cost Burden (Dollars)
9,411,585
0
9,415,041
Abstract:
The goal of this information collection is to facilitate a CDC public health mission as provided under the PHSA and Code of Federal Regulations. Collected information is intended to prevent the spread of communicable disease into and within the United States. This Non-Substantive Change Request is submitted by CDC to move the Air Travel Illness or Death Investigation Form from 0920-0134 to 0920-1318.
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
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
83 FR 45449
09/07/2018
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 60870
11/27/2018
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
19
IC Title
Form No.
Form Name
42CFR71.32(b)_Importer Documentation of Non Infectiousness (no form)
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))
42CFR71.51(b)(3) Importer Dogs/Cats: Record of Sickness or Deaths ((verbal, no form))
42CFR71.51(c )(1)(d)_Valid Rabies Vacinnation Certificates ((verbal, no form))
42CFR71.51(c)(i)(ii)&(iii)_Exemption Criteria for the Importation of a Dog
42CFR71.52(d)_Turtle Importation Permits ((verbal, no form))
42CFR71.55 & 71.32_Dead Bodies--Death Certificates
42CFR71.56(a)(2)_African Rodents--Request for Exemption
42CFR71.56(a)(iii)_Appeal (Importer)
Air Travel Illness or Death Investigation Form
0920-0134
Air Travel Illness or Death Investigation Form
Application for Permission to Import A Dog Inadequately Immunized Against Rabies
0920-0134, none, none
Permit to Conditionally Import a Dog Inadequately Immunized against Rabies - Single Entry
,
Application for Permit to Import Dog Inadequately Immunized Against Rabies
,
Application for Special Exemption for a Permitted Dog Import
Att D_71.51(c)(2)_NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement
CDC 75.37 (f.4.421)
Notice to Owners and Importers of Dogs
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
COVID-2019 Supplemental Questionnaire
0920-0134
Supplemental COVID-2019 Questionnaire
Cumulative Influenza/Influenza-Like Illness (ILI) Form
none
Cumulative Influenza/Influenza-Like Illness (ILI) Form
Enhanced Data Collection During COVID-19 Pandemic
0920-0134
Enhanced Data Collection During COVID-19 Pandemic
Land Travel Illness or Death Investigation Form
none
Land Travel Illness or Death Investigation Form
Maritime Conveyance Illness or Death Investigation Form (Section 5)
42 CFR 71.21(a)
Maritime Conveyance Illness or Death Investigation Form (Section 5)
ICR Summary of Burden
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
1,144,598
1,146,298
0
-1,700
0
0
Annual Time Burden (Hours)
329,764
329,906
0
-142
0
0
Annual Cost Burden (Dollars)
9,411,585
9,415,041
0
-3,456
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Changing Forms
Short Statement:
Air Travel Illness or Death Investigation Form and burden associated with this collection has been moved to 0920-1318.
Annual Cost to Federal Government:
$1,601,872
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:
Jeffrey Zirger 404 639-7118 wtj5@cdc.gov
Common Form ICR:
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:
(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:
11/03/2021
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