Foreign Quarantine Regulations (42CFR71)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Cumulative Influenza/Influenza-Like Illness (ILI) Form	Form	Unchanged	Available
Form 42CFR 71.21(a) Maritime Conveyance Illness or Death Investigation Form	Form	Unchanged	Available
Form PGA-1 CDC Requested Data on Regulated Imports: Domestic Cats (42CFR71.51)	Form and Instruction	Unchanged	Available
Form PGA-3 CDC Requested Data on Regulated Imports: Domestic Dogs(42CFR 71.51)	Form and Instruction	Unchanged	Available
Form PGA-1 CDC Requested Data on Regulated Imports: Products of African Rodents (42CFR71.56); Products of All Family Viverridae (42CFR71.32)	Form and Instruction	Unchanged	Available
Form 42CFR71.56 CDC Requested Data on Regulated Imports: Live African Rodents	Form and Instruction	Unchanged	Available
Form CDC Form 71.51(c)( Application for a Permit to Import A Dog Inadequately Immunized Against Rabies	Form	Unchanged	Available
Form CDC Form 71.51(c ) Application for Permission to Import a Dog Inadequately Immunized Against Rabies	Form	Unchanged	Repair queued
Form 42CFR71.21(c ) (MIDRS) Gastrointestinal Illness Report	Form	Unchanged	Available
Form CDC Form 75.37 (f. NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement	Form and Instruction	Unchanged	Available
0920-0134 ITDS Nonsub_RC ir.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-11-16	Available
0920-0134 Dog Import Nonsub change request.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2016-08-15	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	Repair queued
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 ID	Collection	Type	Status	Form
6646	Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form	Form	Unchanged	Cumulative Influenza/Influenza-Like Illness (ILI) Form
6646	Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form	Form	Unchanged	Maritime Conveyance Illness or Death Investigation Form
218821	Att K & L_42CFR 71.51_CDC Requested Data on Regulated Imports: Domestic Dogs & Cats	Form and Instruction	Unchanged	CDC Requested Data on Regulated Imports: Domestic Cats (42CFR71.51)
218821	Att K & L_42CFR 71.51_CDC Requested Data on Regulated Imports: Domestic Dogs & Cats	Form and Instruction	Unchanged	CDC Requested Data on Regulated Imports: Domestic Dogs(42CFR 71.51)
218789	42CFR71.51(c)(i)(ii)&(iii)_Exemption Criteria for the Importation of a Dog		Unchanged
218788	42CFR71.51(c )(1)(d)_Valid Rabies Vacinnation Certificates ((verbal, no form))	Instruction	Unchanged
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	Unchanged	CDC Requested Data on Regulated Imports: Products of African Rodents (42CFR71.56); Products of All Family Viverridae (42CFR71.32)
212101	42CFR71.32(b)_Importer Documentation of Non Infectiousness (no form)	Instruction	Unchanged
212100	Att M_42CFR71.56_CDC Requested Data on Regulated Imports: Live African Rodents (PGA Message Set)	Form and Instruction	Unchanged	CDC Requested Data on Regulated Imports: Live African Rodents
212099	Att E_Application for Permission to Import A Dog Inadequately Immunized Against Rabies	Form	Unchanged	Application for a Permit to Import A Dog Inadequately Immunized Against Rabies
212099	Att E_Application for Permission to Import A Dog Inadequately Immunized Against Rabies	Form	Unchanged	Application for Permission to Import a Dog Inadequately Immunized Against Rabies
202077	42CFR71.56(a)(iii)_Appeal (Importer)		Unchanged
202076	42CFR71.55 & 71.32_Dead Bodies--Death Certificates		Unchanged
202075	42CFR71.56(a)(2)_African Rodents--Request for Exemption		Unchanged
202074	42CFR71.21(c) Recordkeeping--Medical Logs		Unchanged
202073	Att J_42CFR71.21(c )_(MIDRS) Gastrointestinal Illness Report	Form	Unchanged	(MIDRS) Gastrointestinal Illness Report
202072	Att I_42CFR71.21(b)_Death/Illness Reports from Aircraft		Unchanged
189698	42CFR71.52(d)_Turtle Importation Permits ((verbal, no form))		Unchanged
189697	Att D_71.51(c)(2)_NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement	Form and Instruction	Unchanged	NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement
189696	42CFR71.51(b)(3) Importer Dogs/Cats: Record of Sickness or Deaths ((verbal, no form))		Unchanged
189693	42CFR71.35_Report of Dealth Illness During Stay in Port ((verbal, no form))		Unchanged
189692	42CFR71.33(c) Report by Persons in Isolation or Surveillance ((no form))		Unchanged

ICR Details

OMB Control No: 0920-0134	ICR Reference No: 201611-0920-006
Status: Historical Active	Previous ICR Reference No: 201608-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 17EQ
Title: Foreign Quarantine Regulations (42CFR71)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/17/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/16/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2019	05/31/2019	05/31/2019
Responses	363,228	0	363,228
Time Burden (Hours)	82,779	0	82,779
Cost Burden (Dollars)	5,292	0	5,292

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Abstract: Request to change the method for respondents to submit forms; forms can be submitted via the International Trade Data System and the Automated Cargo Environment. No change to burden or forms.

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Authorizing Statute(s): Statute at Large: 42 Stat. 71
   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

table that charts list of burden

IC Title	Form No.	Form Name
42CFR71.21(c) Recordkeeping--Medical Logs
42CFR71.32(b)_Importer Documentation of Non Infectiousness (no 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))
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
42CFR71.52(d)_Turtle Importation Permits ((verbal, no form))
42CFR71.55 & 71.32_Dead Bodies--Death Certificates
42CFR71.56(a)(2)_African Rodents--Request for Exemption
42CFR71.56(a)(iii)_Appeal (Importer)
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
Att E_Application for Permission to Import A Dog Inadequately Immunized Against Rabies	CDC Form 71.51(c )(2)(d), CDC Form 71.51(c)(2)(d) rev082016	Application for Permission to Import a Dog Inadequately Immunized Against Rabies ,   Application for a Permit to Import A Dog Inadequately Immunized Against Rabies
Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form	42CFR 71.21(a), None	Maritime Conveyance Illness or Death Investigation Form ,   Cumulative Influenza/Influenza-Like Illness (ILI) 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
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)
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
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)

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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	363,228	363,228	0	0	0	0
Annual Time Burden (Hours)	82,779	82,779	0	0	0	0
Annual Cost Burden (Dollars)	5,292	5,292	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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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: 11/16/2016

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