Information Collection Request

Foreign Quarantine Regulations (42CFR71)

ICR 201509-0920-005 · OMB 0920-0134 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 42CFR 71.21(a) Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form Form Modified Available
Form PGA-3 Att K & L_42CFR 71.51_CDC Requested Data on Regulated Imports: Domestic Dogs & Cats Form and Instruction New Available
Form PGA-1 Att N _CDC Requested Data on Regulated Imports: Products of African Rodents (42CFR71.56); Products of All Family Viverridae (42CFR71.32) Form and Instruction Modified Available
Form 42CFR71.56 Att M_42CFR71.56_CDC Requested Data on Regulated Imports: Live African Rodents (PGA Message Set) Form and Instruction Modified Available
Form CDC Form 71.51(c ) Att E_Application for Permission to Import A Dog Inadequately Immunized Against Rabies Form Modified Available
Form 42CFR71.21(c ) Att J_42CFR71.21(c )_(MIDRS) Gastrointestinal Illness Report Form Modified Available
Form CDC Form 75.37 (f. Att D_71.51(c)(2)_NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement Form and Instruction Modified Available
Form 4 Locator Form used for Reporting of an Ill Passenger(s) (Airport) Form Removed Available
Form 4 Passenger Locator Form used in a outbreak of public health significance Form and Instruction Removed Available
Att O_ MOU - HHS and DHS.pdf Supplementary Document Uploaded 2016-04-29 Available
Att P_IRB Non-Research Determination.pdf Supplementary Document Uploaded 2016-04-29 Available
Att P_Approval for Removal of Expiration Date.pdf Supplementary Document Uploaded 2015-11-02 Available
Att B_60 Day FRN 0920-0134.pdf Supplementary Document Uploaded 2015-11-02 Available
Att B_60 Day FRN 0920-0134.pdf Supplementary Document Uploaded 2015-10-14 Available
Foreign Quarantine Reg (42 CFR 71) SSA clean.doc Supporting Statement A Uploaded 2016-04-29 Available
0920-0134 SupSta B 10162015.docx Supporting Statement B Uploaded 2015-10-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6646 Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form Form Modified
218821 Att K & L_42CFR 71.51_CDC Requested Data on Regulated Imports: Domestic Dogs & Cats Form and Instruction New
218789 42CFR71.51(c)(i)(ii)&(iii)_Exemption Criteria for the Importation of a Dog New
218788 42CFR71.51(c )(1)(d)_Valid Rabies Vacinnation Certificates ((verbal, no form)) Instruction New
212102 Att N _CDC Requested Data on Regulated Imports: Products of African Rodents (42CFR71.56); Products of All Family Viverridae (42CFR71.32) Form and Instruction Modified
212101 42CFR71.32(b)_Importer Documentation of Non Infectiousness (no form) Instruction Modified
212100 Att M_42CFR71.56_CDC Requested Data on Regulated Imports: Live African Rodents (PGA Message Set) Form and Instruction Modified
212099 Att E_Application for Permission to Import A Dog Inadequately Immunized Against Rabies Form Modified
202077 42CFR71.56(a)(iii)_Appeal (Importer) Modified
202076 42CFR71.55 & 71.32_Dead Bodies--Death Certificates Modified
202075 42CFR71.56(a)(2)_African Rodents--Request for Exemption Modified
202074 42CFR71.21(c) Recordkeeping--Medical Logs Modified
202073 Att J_42CFR71.21(c )_(MIDRS) Gastrointestinal Illness Report Form Modified
202072 Att I_42CFR71.21(b)_Death/Illness Reports from Aircraft Modified
189698 42CFR71.52(d)_Turtle Importation Permits ((verbal, no form)) Modified
189697 Att D_71.51(c)(2)_NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement Form and Instruction Modified
189696 42CFR71.51(b)(3) Importer Dogs/Cats: Record of Sickness or Deaths ((verbal, no form)) Modified
189695 Locator Form used for Reporting of an Ill Passenger(s) (Airport) Form Removed
189694 Passenger Locator Form used in a outbreak of public health significance Form and Instruction Removed
189693 42CFR71.35_Report of Dealth Illness During Stay in Port ((verbal, no form)) Modified
189692 42CFR71.33(c) Report by Persons in Isolation or Surveillance ((no form)) Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2019 36 Months From Approved 09/30/2017
363,228 0 2,775,428
82,779 0 235,579
5,292 0 0





Reginfo record details
19
table that charts list of burden
IC Title Form No. Form Name
Att N _CDC Requested Data on Regulated Imports: Products of African Rodents (42CFR71.56); Products of All Family Viverridae (42CFR71.32) PGA-1 CDC Requested Data on Regulated Imports: Products of African Rodents (42CFR71.56); Products of All Family Viverridae (42CFR71.32)
Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form None, 42CFR 71.21(a) Maritime Conveyance Illness or Death Investigation Form ,   Cumulative Influenza/Influenza-Like Illness (ILI) Form
42CFR71.33(c) Report by Persons in Isolation or Surveillance ((no form))
42CFR71.35_Report of Dealth Illness During Stay in Port ((verbal, no form))
42CFR71.51(b)(3) Importer Dogs/Cats: Record of Sickness or Deaths ((verbal, no form))
Att D_71.51(c)(2)_NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement CDC Form 75.37 (f.4.421) NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement
42CFR71.52(d)_Turtle Importation Permits ((verbal, no form))
Att I_42CFR71.21(b)_Death/Illness Reports from Aircraft
Att J_42CFR71.21(c )_(MIDRS) Gastrointestinal Illness Report 42CFR71.21(c ) (MIDRS) Gastrointestinal Illness Report
42CFR71.21(c) Recordkeeping--Medical Logs
42CFR71.56(a)(2)_African Rodents--Request for Exemption
42CFR71.55 & 71.32_Dead Bodies--Death Certificates
42CFR71.56(a)(iii)_Appeal (Importer)
Att E_Application for Permission to Import A Dog Inadequately Immunized Against Rabies CDC Form 71.51(c )(2)(d) Application for Permission to Import a Dog Inadequately Immunized Against Rabies
Att M_42CFR71.56_CDC Requested Data on Regulated Imports: Live African Rodents (PGA Message Set) 42CFR71.56 CDC Requested Data on Regulated Imports: Live African Rodents
42CFR71.32(b)_Importer Documentation of Non Infectiousness (no form)
Att K & L_42CFR 71.51_CDC Requested Data on Regulated Imports: Domestic Dogs & Cats PGA-1, PGA-3 CDC Requested Data on Regulated Imports: Domestic Dogs(42CFR 71.51) ,   CDC Requested Data on Regulated Imports: Domestic Cats (42CFR71.51)
42CFR71.51(c )(1)(d)_Valid Rabies Vacinnation Certificates ((verbal, no form))
42CFR71.51(c)(i)(ii)&(iii)_Exemption Criteria for the Importation of a Dog
Passenger Locator Form used in a outbreak of public health significance 4 Public Health Passenger Locator Form
Locator Form used for Reporting of an Ill Passenger(s) (Airport) 4 Public Health Passenger Locator Form

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 363,228 2,775,428 0 288,600 -2,700,800 0
Annual Time Burden (Hours) 82,779 235,579 0 72,267 -225,067 0
Annual Cost Burden (Dollars) 5,292 0 0 5,292 0 0


Reginfo record details
  No