Quarantine Station Illness Response Forms: Airline, Maritime, and Land/Border Crossing

Forms and Documents

Document Name	Status
Ebola Entry Screening Risk Assessment (Ill Traveler Interview) Form and Instruction	Removed
Ebola Entry Screening Risk Assessment - ARABIC Form and Instruction	Removed
Ebola Entry Screening Risk Assessment - FRENCH Form and Instruction	Removed
Ebola Entry Screening Risk Assessment - ENGLISH Form and Instruction	Removed
United States Traveler Health Declaration - ARABIC Form and Instruction	Removed
United States Traveler Health Declaration - FRENCH Form and Instruction	Removed
United States Traveler Health Declaration - ENGLISH Form and Instruction	Removed
Air Travel Illness or Death Investigation Form	Modified
Land Travel Illness or Death Investigation Form	Modified
International Maritime Conveyance Illness or Death Investigation Form Form and Instruction	Modified
0920-0821 Revision Part B 02182016.docx Supporting Statement B	2016-02-22
0920-0821 Revision Part A 02182016.doc Supporting Statement A	2016-02-22
Attachment G Non-research Determination.pdf Supplementary Document	2016-02-22
Attachment B 60 Day FRN 0920-0821.pdf Supplementary Document	2016-02-22
Attachment A3 CFR-2013-title42-vol1-part71.pdf Supplementary Document	2015-02-06
Attachment A2 CFR-2013-title42-vol1-part70.pdf Supplementary Document	2015-02-06
Attachment A1 USCODE-2009-title42-chap6A-subchapII-partG.PDF Supplementary Document	2015-02-06

IC Document Collections

IC ID	Document Title	Status
214908	Ebola Entry Screening Risk Assessment (Ill Traveler Interview) Form and Instruction	Removed
214903	IVR Active Monitoring Survey - ARABIC (for translation service) Other-IVR Telephone Survey Script (Limited number - English for	Removed
214902	IVR Active Monitoring Survey - FRENCH Other-IVR Telephone Survey Script - French	Removed
214901	IVR Active Monitoring Survey - ENGLISH Other-IVR Telephone Survey Script - English	Removed
214898	Ebola Entry Screening Risk Assessment - ARABIC Form and Instruction	Removed
214896	Ebola Entry Screening Risk Assessment - FRENCH Form and Instruction	Removed
214895	Ebola Entry Screening Risk Assessment - ENGLISH Form and Instruction	Removed
214893	United States Traveler Health Declaration - ARABIC Form and Instruction	Removed
214890	United States Traveler Health Declaration - FRENCH Form and Instruction	Removed
214888	United States Traveler Health Declaration - ENGLISH Form and Instruction	Removed
188000	Air Travel Illness or Death Investigation Form	Modified
187999	Land Travel Illness or Death Investigation Form	Modified
187997	International Maritime Conveyance Illness or Death Investigation Form Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0821	ICR Reference No: 201601-0920-011
Status: Historical Active	Previous ICR Reference No: 201502-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0821
Title: Quarantine Station Illness Response Forms: Airline, Maritime, and Land/Border Crossing
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: 06/03/2016
	Date Received in OIRA: 03/01/2016
Terms of Clearance: This ICR is approved for 3 years as forms pertaining to Ebola screening have been removed from the collection and are no longer utilized.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	36 Months From Approved	06/30/2016
Responses	2,650	0	1,129,429
Time Burden (Hours)	221	0	85,382
Cost Burden (Dollars)	0	0	0

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Abstract: Quarantine station staff work in partnership with international, federal, state, and local agencies and organizations to fulfill their mission to reduce morbidity and mortality among immigrants, refugees, travelers, expatriates, and other globally mobile persons. This request for Revision is to remove Respondents and Burden Hours associated with the United States Traveler Health Declaration, Ebola Entry Risk Assessment Forms, and the IVR Active Monitoring Survey System. No changes in data fields or collection processes are requested for the Air Travel, Maritime Conveyance, or Land Travel Illness or Death Investigation forms.

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Authorizing Statute(s): US Code: 42 USC 71 Name of Law: Foreign Quarantine
   US Code: 42 USC 264 Name of Law: Regulations to Control Communicable Diseases
   US Code: 42 USC 70 Name of Law: Interstate Quarrantine
  

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 78738	12/17/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 9198	02/24/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Ebola Entry Screening Risk Assessment - FRENCH	None	Ebola Entry Screening Risk Assessment Form - French
United States Traveler Health Declaration - ARABIC	None	United States Traveler Health Declaration - Arabic Translation Guide
Ebola Entry Screening Risk Assessment - ENGLISH	None	Ebola Entry Screening Risk Assessment Form - English
IVR Active Monitoring Survey - ARABIC (for translation service)
United States Traveler Health Declaration - ENGLISH	None, None, None	United States Traveler Health Declaration - English/Hard Copy ,   United States Traveler Health Declaration - English/Portal ,   United States Health Declaration - English/PDF
United States Traveler Health Declaration - FRENCH	None	United States Traveler Health Declaration - French Translation Guide
Ebola Entry Screening Risk Assessment - ARABIC	None	Ebola Entry Screening Risk Assessment Form - Arabic
IVR Active Monitoring Survey - FRENCH
IVR Active Monitoring Survey - ENGLISH
Ebola Entry Screening Risk Assessment (Ill Traveler Interview)	None, None, None	Ebola Entry Screening Risk Assessment Form - English ,   Ebola Entry Screening Risk Assessment Form - French ,   Ebola Entry Screening Risk Assessment Form - Arabic
Air Travel Illness or Death Investigation	none	Air Travel Illness or Death Investigation
International Maritime Conveyance Illness or Death Investigation Form	NA	Maritime Conveyance Illness or Death Investigation Form 0821_0134
Land Travel Illness or Death Investigation	none	Land Travel Illness or Death Investigation

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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	2,650	1,129,429	0	-1,126,779	0	0
Annual Time Burden (Hours)	221	85,382	0	-85,161	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Revisions to 0920-0821 include an increase in the number of respondents/burden hours for the Air Travel Illness or Death Investigation form, and a decrease in respondents/burden hours for the Maritime Conveyance Illness or Death Investigation and Land Travel Illness or Death Investigation forms. Additionally, US Traveler Health Declaration and Ebola Risk Assessment Forms, IVR Script and Ebola Screening Risk Assessment forms and also being removed. This results in a net decrease in overall respondents/burden hours.

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Annual Cost to Federal Government: $467,353

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: 03/01/2016

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