View Information Collection Request (ICR) Package

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: 0920-1474	ICR Reference No: 202608-0920-009
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-27-XXXX
Title: [NCEZID] 2026 Ebola Passenger Disclosure and Attestation
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 10/21/2026
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/21/2026
	Date Received in OIRA: 10/20/2026
Terms of Clearance: This emergency package is approved by OMB. CDC will now follow the standard PRA process, including the 60/30 day notices and updated PIA to request ongoing OMB approval for the collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	6 Months From Approved
Responses	270,600,100	0	0
Time Burden (Hours)	22,550,200	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	270,600,100	270,600,100
Annual Time Burden (Hours)	22,550,200	22,550,200
Annual Cost Burden (Dollars)	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: No

Burden Reduction Due to:

Short Statement: Submission is a New Emergency ICR for 2026 Ebola Passenger Disclosure and Attestation

Annual Cost to Federal Government: $283,962

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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. Yes

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

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