Quarantine Station Illness Response Forms:
Airline, Maritime, and Land/Border Crossing
OMB Control No. 0920-0821
Request for a Nonsubstantive Change
Justification
CDC requests OMB approval for nonsubstanitve changes to existing Airline, Maritime, and Land/Border Crossing Quarantine Station Illness Response forms. Many of the additional fields will result in an overall decrease in individual burden since these are fields that will be filled in by Quarantine Medical Officer and Quarantine Public Health Officers conducting the investigation. However, the number of respondents is estimated to increase and the overall public burden will similarly increase. The increased number of respondents is largely beyond CDC control and is due to an improved and more efficient reporting process that captures more illness among travelers.
The request includes changes to the four previously approved forms with modified title changes to: Air Travel Illness or Death Investigation, U.S. Centers for Disease and Control and Prevention (Attachment E); a combined Maritime Conveyance Illness or Death Investigation Form, U.S. Centers for Disease Control and Prevention (Attachment F); and Land Travel Illness or Death Investigation Form, U.S. Centers for Disease Control and Prevention (Attachment G).
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | pbf7 |
| File Modified | 0000-00-00 |
| File Created | 2021-02-02 |