Foreign Quarantine Regulations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 71.21 (a) Radio Report of Death/Illness Report from Ships	Form and Instruction	Modified	Available
Form 2 Recordkeeping--Medical Logs (Maritime), Title 71.21 (c)	Form	New	Available
Form 2 Gastrointestinal Illness Reports 24 and 4 hours before Arrival (VSP) Title 71.21. (c)	Form	New	Available
Form 6 71.53(d) Importer registration -Nonhuman primates	Form and Instruction	Modified	Available
Form 5 Dogs/Cats: Certification of confinement, vaccination, CDC form 75.37. Title 71.51(d)	Form and Instruction	Modified	Repair queued
Form 4 Locator Form used for Reporting of an Ill Passenger(s) (Airport)	Form	Modified	Repair queued
Form 4 Public Health Passenger Locator Form - Outbreak Aircraft	Form and Instruction	Modified	Available
Attachment 2 42 CFR 70 and 71.pdf	Supplementary Document	Uploaded 2012-04-23	Available
Attachment 1- Section 361 of the Public Health Service Act 42 USC 264.docm	Supplementary Document	Uploaded 2012-04-23	Available
Attachment 2 42 CFR 70 and 71.pdf	Supplementary Document	Uploaded 2012-04-23	Available
Attachment 5 Reportable Medical Conditions.docx	Supplementary Document	Uploaded 2012-04-23	Available
Attachment 2 42 CFR 70 and 71.pdf	Supplementary Document	Uploaded 2012-04-23	Available
Attachment 2 42 CFR 70 and 71.pdf	Supplementary Document	Uploaded 2012-04-23	Available
Supporting_Statement_-Part_A_6_06_2012 0920-0134 revised.doc	Supporting Statement A	Uploaded 2012-06-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6646	71.21 (a) Radio Report of Death/Illness Report from Ships	Form and Instruction	Modified
202077	Appeal (Importer) Title 71.56 (a)(iii)		New
202076	Dead Bodies--Death Certificates Title 71.55		New
202075	African Rodents--Request for Exemption Title 71.56 (a)(2)		New
202074	Recordkeeping--Medical Logs (Maritime), Title 71.21 (c)	Form	New
202073	Gastrointestinal Illness Reports 24 and 4 hours before Arrival (VSP) Title 71.21. (c)	Form	New
202072	Death/Illness Reports from Aircraft Title 71.21 (b)	Other-Radio Report from aircraft commander	New
189700	71.53(e) Recordkeeping (Non-Human Primate Importer)		Modified
189699	71.53(d) Importer registration -Nonhuman primates	Form and Instruction	Modified
189698	71.52 Turtle Importation Permits		Modified
189697	Dogs/Cats: Certification of confinement, vaccination, CDC form 75.37. Title 71.51(d)	Form and Instruction	Modified
189696	Dogs/Cats: Record of Sickness or Deaths 71.51 (b)(3)		Modified
189695	Locator Form used for Reporting of an Ill Passenger(s) (Airport)	Form	Modified
189694	Public Health Passenger Locator Form - Outbreak Aircraft	Form and Instruction	Modified
189693	71.35 Report of death/illness in port		Modified
189692	71.33(c) Report by person in isolation or surveillance		Modified

ICR Details

OMB Control No: 0920-0134	ICR Reference No: 201204-0920-005
Status: Historical Active	Previous ICR Reference No: 201110-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Foreign Quarantine Regulations
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/02/2012
	Date Received in OIRA: 04/25/2012
Terms of Clearance: Previous terms continue: 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	07/31/2015	36 Months From Approved	06/30/2012
Responses	2,740,728	0	2,711,691
Time Burden (Hours)	227,330	0	225,760
Cost Burden (Dollars)	0	0	0

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Abstract: Section 361 of the Public Health Service Act (42 U.S.C. 264) authorizes the Secretary of Health and Human Services to make and enforce regulations necessary to prevent the introduction, transmission or spread of communicable diseases.

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Authorizing Statute(s): Statute at Large: 42 Stat. 71 Name of Statute: null
   US Code: 42 USC 264 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:
	77 FR 8875	02/15/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 24207	04/23/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 16

table that charts list of burden

IC Title	Form No.	Form Name
71.21 (a) Radio Report of Death/Illness Report from Ships	1	Illness or Death Report from Ships, 71.21
71.33(c) Report by person in isolation or surveillance
71.35 Report of death/illness in port
Public Health Passenger Locator Form - Outbreak Aircraft	4	Public Health Passenger Locator Form
Locator Form used for Reporting of an Ill Passenger(s) (Airport)	4	Public Health Passenger Locator Form
Dogs/Cats: Record of Sickness or Deaths 71.51 (b)(3)
Appeal (Importer) Title 71.56 (a)(iii)
Dogs/Cats: Certification of confinement, vaccination, CDC form 75.37. Title 71.51(d)	5	Notice to Owners and Importers of Dogs
71.52 Turtle Importation Permits
71.53(d) Importer registration -Nonhuman primates	6	Application for Registration as an Importer of Nonhuman Primates
71.53(e) Recordkeeping (Non-Human Primate Importer)
Death/Illness Reports from Aircraft Title 71.21 (b)
Gastrointestinal Illness Reports 24 and 4 hours before Arrival (VSP) Title 71.21. (c)	2	Maritime Illness and Death Reporting System--Gastrointestinal Illness Report
Recordkeeping--Medical Logs (Maritime), Title 71.21 (c)	2	Maritime Illness and Death Reporting System--Gastrointestinal Illness Report
African Rodents--Request for Exemption Title 71.56 (a)(2)
Dead Bodies--Death Certificates Title 71.55

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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	2,740,728	2,711,691	0	42	28,995	0
Annual Time Burden (Hours)	227,330	225,760	0	32	1,538	0
Annual Cost Burden (Dollars)	0	0	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The revision is small increase in burden hours from 225,760 to 227,330. More accurate data concerning aviation and maritime reports is available, which led to a reassessment of the estimated total public burden associated with the reporting and recordkeeping requirements.

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Annual Cost to Federal Government: $65,753

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]? 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: 04/25/2012

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