Emergency Submission to Supplement OMB Control Number 0920-0821 in the context of Screening Travelers for Ebola Risk

ICR 201411-0920-008

OMB: 0920-1031

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
 New
Form and Instruction
 New
Form and Instruction
 New
Form and Instruction
 New
Form and Instruction
 New
Form and Instruction
 Unchanged
Form and Instruction
 Unchanged
Form and Instruction
 Unchanged
Justification for No Material/Nonsubstantive Change
2014-11-19
Supplementary Document
2014-10-10
Supplementary Document
2014-10-10
Supporting Statement B
2014-10-10
Supporting Statement A
2014-10-10
IC Document Collections
IC ID
Document
Title
Status
213997 New
213996 New
213995 New
213994 New
213992 New
213476 Unchanged
213475 Unchanged
213474 Unchanged
ICR Details
0920-1031 201411-0920-008
Historical Active 201410-0920-017
HHS/CDC 15FM
Emergency Submission to Supplement OMB Control Number 0920-0821 in the context of Screening Travelers for Ebola Risk
No material or nonsubstantive change to a currently approved collection   No
Emergency 10/13/2014
Approved without change 11/19/2014
Retrieve Notice of Action (NOA) 11/19/2014
Prior TOC apply.
  Inventory as of this Action Requested Previously Approved
04/30/2015 04/30/2015 04/30/2015
88,420 0 55,380
22,106 0 13,845
0 0 0
CDC requests approval for a nonmaterial/non-substantive change to OMB Control No. 0920-1031 Emergency Submission to Supplement OMB Control Number 0920-0821 in the context of Screening Travelers for Ebola Risk (expiration 4/31/2015). Since October 11th, 2014 the Centers for Disease Control and Prevention (CDC), in coordination with the Department of Homeland Security (DHS), has been screening travelers arriving at certain U.S. ports of entry from countries with widespread transmission of Ebola. The objective of this screening is to identify travelers who may be sick with Ebola or may have had an exposure to Ebola when they arrive in the United States, and ensure that these travelers are directed to appropriate care and monitoring, if needed, which will also help protect the health of all Americans.
The Centers for Disease Control and Prevention (CDC) has been tasked to engage in active surveillance of travelers arriving at U.S. airports from countries currently affected by the Ebola outbreak. CDC’s response requires revising multiple CDC Paperwork Reduction Act clearances.
US Code: 42 USC 264 Name of Law: Public Health and Welfare Act
  
None
Not associated with rulemaking
No
  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 88,420 55,380 0 33,040 0 0
Annual Time Burden (Hours) 22,106 13,845 0 8,261 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
CDC requests approval for a nonmaterial/non-substantive change to OMB Control No. 0920-1031 Emergency Submission to Supplement OMB Control Number 0920-0821 in the context of Screening Travelers for Ebola Risk (expiration 4/31/2015). Since October 11th, 2014 the Centers for Disease Control and Prevention (CDC), in coordination with the Department of Homeland Security (DHS), has been screening travelers arriving at certain U.S. ports of entry from countries with widespread transmission of Ebola. The objective of this screening is to identify travelers who may be sick with Ebola or may have had an exposure to Ebola when they arrive in the United States, and ensure that these travelers are directed to appropriate care and monitoring, if needed, which will also help protect the health of all Americans. CDC has identified specific elements in the United States Traveler Health Declaration (Attachment A1a English hard copy, Attachment A1b English electronic portal, Attachment A1c English fillable PDF, Attachment A2 French, and Attachment A3 Arabic) and Ebola Risk Assessment For Travelers From Ebola Outbreak-Affected Countries form (Attachment B1 English and B2 French) that need to be modified in order to more quickly and effectively assess the risk for Ebola in travelers to the United States from affected countries, and better align disposition of passengers into the risk categories outlined in CDC's revised Interim U.S. Guidance for Monitoring and Movement of Persons with Potential Ebola Virus Exposure (available here: http://www.cdc.gov/vhf/ebola/exposure/monitoring-and-movement-of-persons-with-exposure.html). Additional administrative changes are requested to the United States Traveler Health Declaration and Ebola Risk Assessment For Travelers From Ebola Outbreak-Affected Countries form that do not have an impact on respondents, but instead focus on refining the screening process so that it is more efficient for both the screeners and the travelers. The changes are also intended to provide operational refinements to improve processing of information and linking the forms to individual travelers.
No
No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [email protected]
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/19/2014
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