Airline and Vessel and Traveler Information Collection (42 CFR Part 71)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
International Non-TB Manifest Template	Form and Instruction	New	Available
International TB Manifest Template	Form and Instruction	New	Available
0920-XXXX_INTL Manifest Supporting Statement Part B 01132017.doc	Supporting Statement B	Uploaded 2017-01-13	Available
0920-XXXX_INTL Manifest Supporting Statement Part A 01132017.doc	Supporting Statement A	Uploaded 2017-01-13	Available
Attachment 10 Receipt of manifest letter.doc	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 9 Informal manifest request template.doc	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 8 IATA Passenger Manifest Information Request Form.pdf	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 7 Order Cover Letter.doc	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 4 CDC Nonresearch determination Letter.pdf	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 3 QARS Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 2 - 60 Day FRN.docx	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 1C 42 CFR part 70.pdf	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 1B 42 CFR part 71.pdf	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).pdf	Supplementary Document	Uploaded 2017-01-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
225158	International Non-TB Manifest Template	Form and Instruction	New
225157	International TB Manifest Template	Form and Instruction	New

ICR Details

OMB Control No: 0920-1180	ICR Reference No: 201701-0920-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 16AVM
Title: Airline and Vessel and Traveler Information Collection (42 CFR Part 71)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/02/2017
	Date Received in OIRA: 01/13/2017
Terms of Clearance: Approved consistent with the understanding that this new ICR is affiliated with rulemaking updating 42 CFR Part 71. That final rule includes retrospective review requirements mandating that “no later than February 18, 2019, the Secretary or Director will publish and seek comment on a report evaluating the burden of this section on affected entities and duplication of activities in relation to mandatory passenger data submissions to DHS/ CBP. The report will specifically recommend actions that streamline and facilitate use and transmission of any duplicate information collected.” If any changes associated with this ICR to the collection instruments or type of information gathered is implemented as a result of the retrospective activities described previously---CDC will submit these changes to OMB for review and approval.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2020	36 Months From Approved
Responses	96	0	0
Time Burden (Hours)	576	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of this information collection is to ensure that, consistent with the terms of the accompanying rulemaking, CDC can collect conveyance, passenger, and crew member manifest information in the event an individual with a confirmed or suspected case of a communicable disease is known to have traveled on an airline or vessel while infectious or potentially infectious and presented a risk of spread to other passengers or crew, and so that CDC can initiate the process of contact tracing or provision of other public health follow up to prevent further disease spread.

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Authorizing Statute(s): US Code: 42 USC 264 Name of Law: U.S. PHSA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0920-AA63	Final or interim final rulemaking	82 FR 6890	01/19/2017

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 54230	08/15/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 54230	08/15/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
International Non-TB Manifest Template	NA	ORDER OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES - International Non-TB Manifest Template
International TB Manifest Template	NA	ORDER OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES - International TB Manifest Template

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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	96	0	0	96	0	0
Annual Time Burden (Hours)	576	0	0	576	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: No

Burden Reduction Due to:

Short Statement: Submission of 0920-16AVM is a New ICR accompanying a final rule.

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Annual Cost to Federal Government: $344,992

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: 01/13/2017

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