Foreign Quarantine Regulations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Public Health Passenger Locator Form	Form	Modified	Available
Public Health Passenger Locator Form	Form	Modified	Available
0134 Justification change request-SH 09 28 2011.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2011-10-03	Available
Passenger Locator Form - OMB 0134.pdf	Supplementary Document	Uploaded 2011-08-11	Available
PLFInstructions_9-28-2011_OMB.docx	Supplementary Document	Uploaded 2011-10-03	Available
PLFInstructions_9-28-2011_OMB.docx	Supplementary Document	Uploaded 2011-10-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6646	71.21 Radio Report of Death/Illness	Instruction	Modified
189700	71.53(e) Recordkeeping		Modified
189699	71.53(d) Importer registration -Nonhuman primates	Instruction	Modified
189698	71.52 Turtle Importation Permits		Modified
189697	71.51(d) Dogs/Cats: Certification of confinement, vaccination		Modified
189696	71.51 (b)(3) Admission of cats/dogs; death/illness	Instruction	Modified
189695	Public Health Passenger Locator Form - Illness	Form	Modified	Public Health Passenger Locator Form
189694	Public Health Passenger Locator Form - Outbreak	Form	Modified	Public Health Passenger Locator Form
189693	71.35 Report of death/illness in port	Instruction	Modified
189692	71.33(c) Report by person in isolation or surveillance		Modified

ICR Details

OMB Control No: 0920-0134	ICR Reference No: 201110-0920-002
Status: Historical Active	Previous ICR Reference No: 200906-0920-019
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Foreign Quarantine Regulations
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: 10/28/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/04/2011
Terms of Clearance: OMB does not approve CDC's request not to display the OMB control number on the Passenger Locator Card.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2012	06/30/2012	06/30/2012
Responses	2,711,691	0	2,711,691
Time Burden (Hours)	225,760	0	225,760
Cost Burden (Dollars)	0	0	0

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Abstract: Section 301 of the Public Health Service Act (PHSA) (42 U.S.C. 264) (Attachment 1) authorizes the Secretary of Health and Human Services to make and enforce regulations necessary to prevent the introduction, transmission or spread of communicable diseases from foreign countries into the United States. Legislation and the existing regulations governing quarantine activities (42 CFR 71) (Attachment 2) authorize quarantine officers and other personnel to inspect and undertake necessary control measures with respect to conveyances, persons, and shipments of animals and etiologic agents in order to protect the public's health.

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Authorizing Statute(s): Statute at Large: 42 Stat. 71
  

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

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
71.21 Radio Report of Death/Illness
71.33(c) Report by person in isolation or surveillance
71.35 Report of death/illness in port
71.51 (b)(3) Admission of cats/dogs; death/illness
71.51(d) Dogs/Cats: Certification of confinement, vaccination
71.52 Turtle Importation Permits
71.53(d) Importer registration -Nonhuman primates
71.53(e) Recordkeeping
Public Health Passenger Locator Form - Illness	none	Public Health Passenger Locator Form
Public Health Passenger Locator Form - Outbreak	none	Public Health Passenger Locator Form

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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	2,711,691	2,711,691	0	0	0	0
Annual Time Burden (Hours)	225,760	225,760	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? 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? 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: 10/04/2011

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