Restrictions on Interstate Travel of Persons

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
42 CFR 70.3 Applicant to State of Destination for a Permit	Form	Modified	Available
42 CFR 70.4 Copy of Material submitted to Health Authority	Form	New	Repair queued
42 CFR 70.4 Report of Communcable Disease While in Interstate Travel by Master of Vessel	Form	New	Available
42 CFR 70.3 Permit Issued by State Health Authority	Form	Modified	Available
42 CFR 70.5 Application to Move from State to State - Communicable Period - Attending Physician	Form	Modified	Available
42 CFR 70.5 Application to Move from State to State - Communicable Period - Traveler	Form	Modified	Available
42 CFR 70.4 Copy of Materials for State or Local Health Authority	Form	Modified	Available
42 CFR 70.4 Report by Master Vessel or Person in Charge of Conveyance	Form	Modified	Available
42 CFR 70.3 Copy of Materials - Attending Physician	Form	Modified	Available
0920-0488_2012_Supporting Statement Part B 11 26 12.doc	Supporting Statement B	Uploaded 2013-02-04	Available
Attachment 6 0920-0488 IRB determination.pdf	Supplementary Document	Uploaded 2013-02-04	Available
Attachment 5 OToole SmallPox An Attack Scenario.pdf	Supplementary Document	Uploaded 2013-02-04	Available
60 day published 0488.pdf	Supplementary Document	Uploaded 2013-02-04	Available
Attachment 1b CFR-2010-title42-vol1-part70.pdf	Supplementary Document	Uploaded 2013-02-04	Available
Attachment 1a USCODE-2009-title42-chap6A-subchapII-partG (1).pdf	Supplementary Document	Uploaded 2013-02-04	Available
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Repair queued
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Repair queued
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Available
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Repair queued
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Repair queued
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Repair queued
09-20-0171.pdf	Supplementary Document	Uploaded 2008-06-25	Available
0920-0488_2012__Supporting_Statement 121412.doc	Supporting Statement A	Uploaded 2013-02-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6924	42 CFR 70.3 Applicant to State of Destination for a Permit	Form	Modified
205724	42 CFR 70.4 Copy of Material submitted to Health Authority	Form	New
205723	42 CFR 70.4 Report of Communcable 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 - Communicable Period - Attending Physician	Form	Modified
185658	42 CFR 70.5 Application to Move from State to State - Communicable Period - Traveler	Form	Modified
185657	42 CFR 70.4 Copy of Materials for State or Local Health Authority	Form	Modified
185656	42 CFR 70.4 Report by Master 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: 201302-0920-007
Status: Historical Active	Previous ICR Reference No: 201002-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 18756
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: Approved with change	Conclusion Date: 03/20/2013
	Date Received in OIRA: 02/08/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2016	36 Months From Approved	03/31/2013
Responses	16,900	0	16,500
Time Burden (Hours)	3,701	0	3,601
Cost Burden (Dollars)	0	0	0

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Abstract: This ICR contains requirements under Reg. 42 CFR Part 70. 70.3 states a person with a communicable disease in the communicable period shall not travel from one State or possession to another without a health permit officer of the State, possession or locality of destination, if such permit is required. 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 in the communicable period of cholera, plague, smallpox, typhus or yellow fever request a permit to travel from the Surgeon General or authorized representative.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
   US Code: 42 USC 70 Name of Law: Interstate Quarantine
  

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

table that charts list of burden

IC Title	Form No.	Form Name
42 CFR 70.3 Applicant to State of Destination for a Permit	none	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 Vessel or Person in Charge of Conveyance	none	Restriction on Travel of Persons
42 CFR 70.4 Copy of Materials for State or Local Health Authority	none	Restriction on Travel of Persons
42 CFR 70.5 Application to Move from State to State - Communicable Period - Traveler	none	Restriction on Travel of Persons
42 CFR 70.5 Application to Move from State to State - 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 Communcable 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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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	16,900	16,500	0	400	0	0
Annual Time Burden (Hours)	3,701	3,601	0	100	0	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: No

Burden Reduction Due to:

Short Statement: This ICR includes a program change that involves splitting the current form into two separate forms based on the type of respondent; an ill traveler, or the master of a vessel or conveyance engaged in interstate travel. The method of reporting from masters of vessels is also modified to include radio or other telecommunications for routine reporting of illness during domestic travel, and paper-based reporting when requested by CDC during a public health emergency. An additional 100 hours is requested due to the separation of routine from emergency reporting on the part of the masters of vessels or conveyances.

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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: 02/08/2013

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