Restrictions on Interstate Travel of Persons

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment 3 0920-0488 60 day FRN.pdf	Supplementary Document	Uploaded 2010-01-20	Repair queued
Attachment 2 42 CFR 70.pdf	Supplementary Document	Uploaded 2010-01-20	Available
Attachment 1 Public Health Service Act.pdf	Supplementary Document	Uploaded 2010-01-20	Available
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Repair queued
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Repair queued
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Available
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Available
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Repair queued
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Repair queued
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Available
0920-0488 2009 Supporting Statement.doc	Supporting Statement A	Uploaded 2010-02-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6924	42 CFR 70.3 Applicant Traveler	Other-WORD	Modified
185660	42 CFR 70.3 Permit Issued by State Health Authority	Other-WORD	Modified
185659	42 CFR 70.5 Application to Move from State to State - Communicable Period (Attending Physician)	Other-WORD	Modified
185658	42 CFR 70.5 Application to Move from State to State - Communicable Period (Traveler)	Other-WORD	Modified
185657	42 CFR 70.4 Copy of Materials (State or Local Health Authority)	Other-WORD	Modified
185656	42 CFR 70.4 Report by Master Vassel (Person in Charge of Conveyance)	Other-WORD	Modified
185655	42 CFR 70.3 Copy of Materials (Applicant/Attending Physician)	Other-WORD	Modified

ICR Details

OMB Control No: 0920-0488	ICR Reference No: 201002-0920-009
Status: Historical Active	Previous ICR Reference No: 200807-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Restrictions on Interstate Travel of Persons
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/30/2010
	Date Received in OIRA: 02/24/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	36 Months From Approved	03/31/2010
Responses	16,500	0	16,500
Time Burden (Hours)	3,601	0	3,601
Cost Burden (Dollars)	0	0	0

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Abstract: Regulations found at 42 CFR Part 70 require that a person who is in the communicable period of cholera, plague, smallpox, typhus, or yellow fever or who, having been exposed to any such disease, is in the incubation period thereof, request a permit from the Surgeon General or his/her designated representative to travel from one State to another, if that State has a requirement for such a permit. The regulation further requires that the master of a vessel or a person in charge of a conveyance engaged in interstate traffic, on which a suspected case of communicable disease develops shall notify the local health authority at the next port of call, station, or stop, and take such measures to prevent the spread of the disease as the local health authority directs.

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Authorizing Statute(s): US Code: 42 USC 70 Name of Law: Interstate Quarantine
   US Code: 42 USC 241 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:
	74 FR 62574	11/30/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 6670	02/10/2010
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
42 CFR 70.3 Applicant Traveler
42 CFR 70.3 Copy of Materials (Applicant/Attending Physician)
42 CFR 70.4 Report by Master Vassel (Person in Charge of Conveyance)
42 CFR 70.4 Copy of Materials (State or Local Health Authority)
42 CFR 70.5 Application to Move from State to State - Communicable Period (Traveler)
42 CFR 70.5 Application to Move from State to State - Communicable Period (Attending Physician)
42 CFR 70.3 Permit Issued by State Health Authority

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ICR Summary of Burden

table that charts list 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	16,500	16,500	0	0	0	0
Annual Time Burden (Hours)	3,601	3,601	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $100,000

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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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: 02/24/2010

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