Att J - 60 day FRN

Attachment J 0920-0821 60 day.pdf

Quarantine Station Illness Response Forms: Airline, Maritime, and Land/Border Crossing

Att J - 60 day FRN

OMB: 0920-0821

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24210

Federal Register / Vol. 77, No. 78 / Monday, April 23, 2012 / Notices

Dated: April 17, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science (OADS),
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–9720 Filed 4–20–12; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–12–0821]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 and
send comments to Ron Otten, at CDC,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an email to
[email protected].
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.

rmajette on DSK2TPTVN1PROD with NOTICES

Proposed Project
Quarantine Station Illness and Death
Investigation Forms—Airline, Maritime,
Land/Border Crossing Illness and Death
Investigation Forms—Revision—
National Center for Zoonotic and
Emerging Infectious Diseases (NCEZID)
(0920–0821, expires 9/30/2012), Centers
for Disease Control and Prevention
(CDC).

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Background and Brief Description
CDC is requesting a revision to an
existing data collection of patient-level
clinical, epidemiologic, and
demographic data from ill travelers and
their possible contacts in order to fulfill
its regulatory responsibility to prevent
the importation of communicable
diseases from foreign countries (42 CFR
part 71) and interstate control of
communicable diseases in humans (42
CFR part 70).
Section 361 of the Public Health
Service (PHS) 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 from foreign
countries into the United States. The
regulations that implement this law, 42
CFR parts 70 and 71, authorize
quarantine officers and other personnel
to inspect and undertake necessary
control measures with respect to
conveyances (e.g., airplanes, cruise
ships, trucks, etc.), persons, and
shipments of animals and etiologic
agents in order to protect the public’s
health. The regulations also require
conveyances to immediately report an
‘‘ill person’’ or any death on board to
the Quarantine Station prior to arrival in
the United States. An ‘‘ill person’’ is
defined in statute by:
—Fever (≥100 °F or 38 °C) persisting ≥48
hours
—Fever (≥100 °F or 38 °C) AND rash,
glandular swelling, or jaundice
—Diarrhea (≥3 stools in 24 hours or
greater than normal amount)
The 2003 Severe Acute Respiratory
Syndrome (SARS) situation and concern
about pandemic influenza and other
communicable diseases have prompted
CDC Quarantine Stations to recommend
that all illnesses be reported prior to
arrival.
CDC Quarantine Stations are currently
located at 20 international U.S. Ports of
Entry. When a suspected illness is
reported to the Quarantine Station,
officers promptly respond to this report
by meeting the incoming conveyance in
person (when possible), collecting
information and evaluating the
patient(s), and determining whether an
ill person can safely be admitted into
the U.S. If Quarantine Station staff is
unable to meet the conveyance, the crew
or medical staff of the conveyance is
trained to complete the required
documentation and forward it (using a
secure system) to the Quarantine Station
for review and follow-up.
To perform these tasks in a
streamlined manner and ensure that all
relevant information is collected in the

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most efficient and timely manner
possible, Quarantine Stations use a
number of forms—the Air Travel Illness
or Death Investigation Form, Maritime
Conveyance Illness or Death
Investigation Form, and the Land Travel
Illness or Death Investigation Form—to
collect data on passengers with
suspected illness and other travelers/
crew who may have been exposed to an
illness. These forms are also used to
respond to a report of a death aboard a
conveyance.
The purpose of all three forms is the
same: to collect information that helps
quarantine officials detect and respond
to potential public health
communicable disease threats. All three
forms collect the following categories of
information: Demographics and mode of
transportation, clinical and medical
history, and any other relevant facts
(e.g., travel history, traveling
companions, etc.). As part of this
documentation, quarantine public
health officers look for specific signs
and symptoms common to the nine
quarantinable diseases (Pandemic
influenza; SARS; Cholera; Plague;
Diphtheria; Infectious Tuberculosis;
Smallpox; Yellow fever; and Viral
Hemorrhagic Fevers), as well as most
communicable diseases in general.
These signs and symptoms include
fever, difficulty breathing, shortness of
breath, cough, diarrhea, jaundice, or
signs of a neurological infection. The
forms also collect data specific to the
traveler’s conveyance.
These data are used by Quarantine
Stations to make decisions about a
passenger’s suspected illness as well as
its communicability. This in turn
enables Quarantine Station staff to assist
conveyances in the public health
management of passengers and crew.
The estimated total burden on the
public, included in the chart below, can
vary a great deal depending on the
severity of the illness being reported,
the number of contacts, the number of
follow-up inquiries required, and who is
recording the information (e.g.,
Quarantine Station staff versus the
conveyance medical authority). In all
cases, Quarantine Stations have
implemented practices and procedures
that balance the health and safety of the
American public against the public’s
desire for minimal interference with
their travel and trade. Whenever
possible, Quarantine Station staff obtain
information from other documentation
(e.g., manifest order, other airline
documents) to reduce the amount of the
public burden.
There are no costs to respondents
other than their time.

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Federal Register / Vol. 77, No. 78 / Monday, April 23, 2012 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
(2009, incl.
H1N1)

Form

Airline Travel Illness or Death Investigation Form ..........................................
Maritime Conveyance Illness or Death Investigation Form .............................
Land Travel Illness or Death Investigation Form ............................................
Total ..........................................................................................................

Dated: April 17, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science (OADS),
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–9717 Filed 4–20–12; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
Agency Information Collection
Activities: Proposed Collection;
Comment Request

rmajette on DSK2TPTVN1PROD with NOTICES

In compliance with Section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995 concerning
opportunity for public comment on
proposed collections of information, the
Substance Abuse and Mental Health
Services Administration (SAMHSA)
will publish periodic summaries of
proposed projects. To request more
information on the proposed projects or
to obtain a copy of the information
collection plans, call the SAMHSA
Reports Clearance Officer on (240) 276–
1243.
Comments are invited on: (a) Whether
the proposed collections of information
are necessary for the proper
performance of the functions of the
agency, including whether the
information shall have practical utility;

1626
1873
259
3,758

(b) the accuracy of the agency’s estimate
of the burden of the proposed collection
of information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Proposed Project: Enhancing Substance
Abuse Treatment Services To Address
Hepatitis Infection Among Intravenous
Drug Users Hepatitis Testing and
Vaccine Tracking Form (OMB No.
0930–0300)—Extension
The Substance Abuse and Mental
Health Services Administration’s
(SAMHSA) Center Substance Abuse
Treatment (CSAT), is responsible for the
Hepatitis Testing and Vaccine Tracking
Form for the prevention of Viral
Hepatitis in patients in designated
Opioid Treatment Programs (OTPs).
There are no changes to the form or
added burden.
This form allows SAMHSA/CSAT to
collect essential Clinical information
that will be used for quality assurance,
quality performance and product
monitoring on approximately 264 Rapid
Hepatitis C Test kits and 10,628 doses
of hepatitis vaccine (Twinrix, HAV, or
HBV). The above kits and vaccines will
be provided to designated OTPs serving
the minority population in their
communities. The information collected
on the Form solicits and reflect the
following information:

Number of
responses per
respondent

Average
burden
per response
(in minutes)

1
1
1
........................

5/60
7/60
5/60
........................

Total burden
hours
136
219
22
377

• Demographics (age, gender, ethnicity)
of designated OTP site
• History (Screening) of Hepatitis C
exposure
• Results of Rapid Hepatitis C Testing
(Kit) and Follow-up information
• Service Provided (type of vaccine
given) Divalent vaccine (Twinrixcombination HAV and HBV) or
Monovalent vaccine (HAV and/or
HBV)
• Substance Abuse Treatment
Outcomes (Information regarding the
beginning, continuing or completion
of vaccination series)
• Type of Referral Services Indicated
(i.e., Gastroenterology, TB; Mental
Health, Counseling, Reproductive/
Prenatal, etc.)
This program is authorized under
Section 509 of the Public Health Service
(PHS) Act [42 U.S.C. 290bb–2].
The form increases the screening and
reporting of viral hepatitis in high risk
minorities in OTPs. The information
collected allows SAMHSA to address
the increased morbidity and mortality of
hepatitis in minorities being treated for
drug addiction.
The SAMHSA/CSAT Hepatitis
Testing and Vaccine Tracking Form
supports quality of care, provide
minimum but adequate clinical and
product monitoring, and provide
appropriate safeguards against fraud,
waste and abuse of Federal funds.
The table below reflects the
annualized hourly burden.

Number of respondents screened

Responses/
respondent

Burden hours

Total burden
hours

50,000 ..........................................................................................................................................

1

0.05

2,500

Send comments to Summer King,
SAMHSA Reports Clearance Officer,
Room 8–1099, One Choke Cherry Road,
Rockville, MD 20857 or email her a
copy at [email protected].
Written comments must be received

before 60 days after the publication in
the Federal Register.

DEPARTMENT OF HOMELAND
SECURITY

Summer King,
Statistician.

Coast Guard

[FR Doc. 2012–9662 Filed 4–20–12; 8:45 am]
BILLING CODE 4162–20–P

[USCG–2012–0274]

Information Collection Requests to
Office of Management and Budget
AGENCY:

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Coast Guard, DHS.

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