Restrictions on Interstate Travel of Persons

Forms and Documents

Document Name	Status
42 CFR 70.3 Applicant Traveler Form	Modified
42 CFR 70.4 Copy of Material submitted to Health Authority Form	New
42 CFR 70.4 Report of communicable disease while in interstate travel by Master of Vessel Form	New
42 CFR 70.3 Permit Issued by State Health Authority Form	Modified
42 CFR 70.5 Application to Move from State to State in the Communicable Period (Attending Physician) Form	Modified
42 CFR 70.5 Application to Move from State to State in the Communicable Period (Traveler) Form	Modified
42 CFR 70.4 Copy of Materials -State or Local Health Authority Form	Modified
42 CFR 70.4 Report by Master of Vessel or Person in Charge of Conveyance Form	Modified
42 CFR 70.3 Copy of Materials -Attending Physician Form	Modified
0920-0488_2012_Supporting Statement Part B 11 26 12.doc Supporting Statement B	2013-01-14
Attachment 6 0920-0488 IRB determination.pdf Supplementary Document	2013-01-14
Attachment 5 OToole SmallPox An Attack Scenario.pdf Supplementary Document	2013-01-14
60 day published 0488.pdf Supplementary Document	2013-01-14
Attachment 1b CFR-2010-title42-vol1-part70.pdf Supplementary Document	2013-01-14
Attachment 1a USCODE-2009-title42-chap6A-subchapII-partG (1).pdf Supplementary Document	2013-01-14
09-20-0171.pdf Supplementary Document	2008-06-25
09-20-0171.pdf Supplementary Document	2008-06-25
09-20-0171.pdf Supplementary Document	2008-06-25
09-20-0171.pdf Supplementary Document	2008-06-25
09-20-0171.pdf Supplementary Document	2008-06-25
09-20-0171.pdf Supplementary Document	2008-06-25
09-20-0171.pdf Supplementary Document	2008-06-25
0920-0488_2012__Supporting_Statement 121412.doc Supporting Statement A	2013-01-14

IC Document Collections

IC ID	Document Title	Status
6924	42 CFR 70.3 Applicant Traveler Form	Modified
205533	42 CFR 70.4 Copy of Material submitted to Health Authority Form	New
205532	42 CFR 70.4 Report of communicable disease while in interstate travel by Master of Vessel Form	New
185660	42 CFR 70.3 Permit Issued by State Health Authority Form	Modified
185659	42 CFR 70.5 Application to Move from State to State in the Communicable Period (Attending Physician) Form	Modified
185658	42 CFR 70.5 Application to Move from State to State in the Communicable Period (Traveler) Form	Modified
185657	42 CFR 70.4 Copy of Materials -State or Local Health Authority Form	Modified
185656	42 CFR 70.4 Report by Master of Vessel or Person in Charge of Conveyance Form	Modified
185655	42 CFR 70.3 Copy of Materials -Attending Physician Form	Modified

ICR Details

OMB Control No: 0920-0488	ICR Reference No: 201301-0920-007
Status: Historical Inactive	Previous ICR Reference No: 201002-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 18517
Title: Restrictions on Interstate Travel of Persons
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 02/01/2013
	Date Received in OIRA: 01/24/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	36 Months From Approved	03/31/2013
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: This contains reporting and paperwork requirements set under Regulation at 42 CFR Part 70. Part 70.3 states that a person who has a communicable disease in the communicable period shall not travel from one State or possession to another without a permit health officer of the State, possession, or locality of destination, if such permit is required under the law applicable to the place of destination. Part 70.4 requires that masters or operators of conveyances engaged in interstate travel report to the local health authority any instance of communicable disease that occur during travel. Part 70.5 requires that a person who is in the communicable period of cholera, plague, smallpox, typhus, or yellow fever request a permit to travel from the Surgeon General or his/her authorized representative.

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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:
	77 FR 65893	10/31/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 4149	01/18/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 9

IC Title	Form No.	Form Name
42 CFR 70.3 Applicant Traveler	none	Att 3 - Restriction on Travel of Persons
42 CFR 70.3 Copy of Materials -Attending Physician	none	Restriction on Travel of Persons
42 CFR 70.4 Report by Master of Vessel or Person in Charge of Conveyance	none	Restriction on Travel of Persons - Report from Master of Vessel
42 CFR 70.4 Copy of Materials -State or Local Health Authority	none	Restriction on Travel of Persons - from Master of Vessel
42 CFR 70.5 Application to Move from State to State in the Communicable Period (Traveler)	none	Restriction on Travel of Persons
42 CFR 70.5 Application to Move from State to State in the Communicable Period (Attending Physician)	none	Restriction on Travel of Persons
42 CFR 70.3 Permit Issued by State Health Authority	none	Restriction on Travel of Persons
42 CFR 70.4 Report of communicable disease while in interstate travel by Master of Vessel	none	Restriction on Travel of Persons
42 CFR 70.4 Copy of Material submitted to Health Authority	none	Restriction on Travel of Persons

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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: 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? Yes Part B of Supporting Statement

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: 01/24/2013

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