Foreign Quarantine Regulations (42CFR71)

Forms and Documents

Document Name	Status
Form 42CFR 71.21(a) Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form Form	Modified
Form PGA-3 Att K & L_42CFR 71.51_CDC Requested Data on Regulated Imports: Domestic Dogs & Cats Form and Instruction	New
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
Form 42CFR71.56 Att M_42CFR71.56_CDC Requested Data on Regulated Imports: Live African Rodents (PGA Message Set) Form and Instruction	Modified
Form CDC Form 71.51(c ) Att E_Application for Permission to Import A Dog Inadequately Immunized Against Rabies Form	Modified
Form 42CFR71.21(c ) Att J_42CFR71.21(c )_(MIDRS) Gastrointestinal Illness Report Form	Modified
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
Form 4 Locator Form used for Reporting of an Ill Passenger(s) (Airport) Form	Removed
Form 4 Passenger Locator Form used in a outbreak of public health significance Form and Instruction	Removed
Att O_ MOU - HHS and DHS.pdf Supplementary Document	2016-04-29
Att P_IRB Non-Research Determination.pdf Supplementary Document	2016-04-29
Att P_Approval for Removal of Expiration Date.pdf Supplementary Document	2015-11-02
Att B_60 Day FRN 0920-0134.pdf Supplementary Document	2015-11-02
Att B_60 Day FRN 0920-0134.pdf Supplementary Document	2015-10-14
Foreign Quarantine Reg (42 CFR 71) SSA clean.doc Supporting Statement A	2016-04-29
0920-0134 SupSta B 10162015.docx Supporting Statement B	2015-10-28

IC Document Collections

IC ID	Document Title	Status
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

OMB Control No: 0920-0134	ICR Reference No: 201509-0920-005
Status: Historical Active	Previous ICR Reference No: 201502-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0134
Title: Foreign Quarantine Regulations (42CFR71)
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: 05/09/2016
	Date Received in OIRA: 11/17/2015
Terms of Clearance: Passenger locator form that was previously included in prior clearances of this ICR are being removed to accompany a future information collection request submission.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2019	36 Months From Approved	09/30/2017
Responses	363,228	0	2,775,428
Time Burden (Hours)	82,779	0	235,579
Cost Burden (Dollars)	5,292	0	0

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Abstract: The goal of revision is to revise and clarify paperwork burden for the importation of dogs into the United States, specifically those requirements and burdens pertaining to rabies vaccination requirements, exemptions from rabies vaccination requirements, and to implement a new process for application and issuance of permits to import unvaccinated animals who do not meet the exemption requirements.

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Authorizing Statute(s): Statute at Large: 42 Stat. 71 Name of Statute: null
   US Code: 42 USC 264 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:
	80 FR 34645	06/17/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 59779	10/02/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 19

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

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ICR Summary 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

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: CDC is requesting approval for changes to the paperwork/approval process for importing dogs; and removal of the PLF. These changes result in increased numbers of respondents and burden.

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Annual Cost to Federal Government: $638,622

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 11/17/2015

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