Foreign Quarantine Regulations (42CFR71)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 42CFR 71.21(a) Maritime Conveyance illness or Death Investigation Form	Form and Instruction	Modified	Available
Land Travel Illness or Death Investigation Form	Form	New	Available
Form 42 CFR 71.21(a) Maritime Conveyance Illness or Death Investigation Form (Section 5)	Form and Instruction	New	Available
Cumulative Influenza/Influenza-Like Illness (ILI) Form	Form and Instruction	New	Available
Form 0920-0134 Air Travel Illness or Death Investigation Form	Form and Instruction	New	Available
Form PGA-1 CDC Requested Data on Regulated Imports: Domestic Cats (42CFR71.51)	Form and Instruction	Removed	Available
Form PGA-3 CDC Requested Data on Regulated Imports: Domestic Dogs(42CFR 71.51)	Form and Instruction	Removed	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	Removed	Available
Form 42CFR71.56 CDC Requested Data on Regulated Imports: Live African Rodents	Form and Instruction	Removed	Available
Permit to Conditionally Import a Dog Inadequately Immunized against Rabies - Single Entry	Form and Instruction	Modified	Available
Application For a Permit to Import a Dog Inadequately Immunized Against Rabies	Form and Instruction	Modified	Available
Form 42CFR71.21(c ) (MIDRS) Gastrointestinal Illness Report	Form	Removed	Available
Form CDC 75.37 (f.4.421 Notice to Owners and Importers of Dogs	Form and Instruction	Modified	Available
Attachment K - IRB Non-Research Determination.pdf	Supplementary Document	Uploaded 2018-11-09	Available
Attachment J Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2018-11-09	Available
Attachment B 60-day FRN.pdf	Supplementary Document	Uploaded 2018-11-09	Available
0920-0134 Foreign Quarantine Reg SSA_02272019.doc	Supporting Statement A	Uploaded 2019-02-28	Available
0920-0134 Foreign Quarantine Reg SSB.docx	Supporting Statement B	Uploaded 2018-11-08	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 (Sections 1-4)	Form and Instruction	Modified	Maritime Conveyance illness or Death Investigation Form
234020	Land Travel Illness or Death Investigation Form	Form	New	Land Travel Illness or Death Investigation Form
234019	Maritime Conveyance Illness or Death Investigation Form (Section 5)	Form and Instruction	New	Maritime Conveyance Illness or Death Investigation Form (Section 5)
234012	Cumulative Influenza/Influenza-Like Illness (ILI) Form	Form and Instruction	New	Cumulative Influenza/Influenza-Like Illness (ILI) Form
233978	Air Travel Illness or Death Investigation Form	Form and Instruction	New	Air Travel Illness or Death Investigation Form
218821	Att K & L_42CFR 71.51_CDC Requested Data on Regulated Imports: Domestic Dogs & Cats	Form and Instruction	Removed	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	Removed	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		Modified
218788	42CFR71.51(c )(1)(d)_Valid Rabies Vacinnation Certificates ((verbal, no form))		Modified
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	Removed	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)		Modified
212100	Att M_42CFR71.56_CDC Requested Data on Regulated Imports: Live African Rodents (PGA Message Set)	Form and Instruction	Removed	CDC Requested Data on Regulated Imports: Live African Rodents
212099	Application for Permission to Import A Dog Inadequately Immunized Against Rabies	Form and Instruction	Modified	Permit to Conditionally Import a Dog Inadequately Immunized against Rabies - Single Entry
212099	Application for Permission to Import A Dog Inadequately Immunized Against Rabies	Form and Instruction	Modified	Application For a Permit to Import a Dog Inadequately Immunized Against Rabies
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		Removed
202073	Att J_42CFR71.21(c )_(MIDRS) Gastrointestinal Illness Report	Form	Removed	(MIDRS) Gastrointestinal Illness Report
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	Notice to Owners and Importers of Dogs
189696	42CFR71.51(b)(3) Importer Dogs/Cats: Record of Sickness or Deaths ((verbal, no form))		Modified
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: 201811-0920-003
Status: Historical Active	Previous ICR Reference No: 201611-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 17EQ
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: 03/05/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/27/2018
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2022	36 Months From Approved	05/31/2019
Responses	1,080,752	0	363,228
Time Burden (Hours)	268,493	0	82,779
Cost Burden (Dollars)	6,540,314	0	5,292

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Abstract: The goal of this information collection is to facilitate a CDC public health mission as provided under the PHSA and Code of Federal Regulations. Collected information is intended to prevent the spread of communicable disease into and within the United States.

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Authorizing Statute(s): US Code: 42 USC 264 Name of Law: Public Health Service Act
   Statute at Large: 42 Stat. 71
   Statute at Large: 42 Stat. 70
  

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:
	83 FR 45449	09/07/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 60870	11/27/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 18

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)
Air Travel Illness or Death Investigation Form	0920-0134	Air Travel Illness or Death Investigation Form
Application for Permission to Import A Dog Inadequately Immunized Against Rabies	none, none	Application For a Permit to Import a Dog Inadequately Immunized Against Rabies ,   Permit to Conditionally Import a Dog Inadequately Immunized against Rabies - Single Entry
Att D_71.51(c)(2)_NOTICE TO OWNERS AND IMPORTERS OF DOGS: Requirement for Dog Confinement	CDC 75.37 (f.4.421)	Notice to Owners and Importers of Dogs
Att H_42CFR71.21(a )_ Maritime Conveyance Illness or Death Investigation Form (Sections 1-4)	42CFR 71.21(a)	Maritime Conveyance illness or Death Investigation 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)
Cumulative Influenza/Influenza-Like Illness (ILI) Form	none	Cumulative Influenza/Influenza-Like Illness (ILI) Form
Land Travel Illness or Death Investigation Form	none	Land Travel Illness or Death Investigation Form
Maritime Conveyance Illness or Death Investigation Form (Section 5)	42 CFR 71.21(a)	Maritime Conveyance Illness or Death Investigation Form (Section 5)

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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	1,080,752	363,228	0	783,584	-66,060	0
Annual Time Burden (Hours)	268,493	82,779	0	195,429	-9,715	0
Annual Cost Burden (Dollars)	6,540,314	5,292	0	6,535,022	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: Adjustments were made according to better estimates and also adding/deleting ICs because of the combination effort of two ICRs. 1. Combining information collections included under 0920-0821 Quarantine Station Illness Response Forms: Airline, Maritime, and Land/Border Crossing with 0920-0134 Foreign Quarantine Regulations results in an addition of 150 burden hours. 2. CDC reorganizing how the illness and death reports from maritime vessels are accounted for in this information collection results in an addition of 78 burden hours 3. Removal of information collections pertaining to the Partner Government Agency (PGA) Message Sets results in a decrease of 8,015 burden hours 4. Removal of acute gastroenteritis reports from ships to the Maritime Illness and Death Reporting System, and removal of medical logs information collection results in a decrease of 1,700 hours 1. Revised estimates of burden and respondents related to importation of dogs into the United States result in an increase of 195,000 burden hours 2. Revised estimates under 42 CFR 71.55, 42 CFR 71.32 Dead Bodies - Death certificates results in an increase 15 burden hours 3. Revised estimate of the number of requests for exemptions for importation of African rodents results in five additional burden hours.

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Annual Cost to Federal Government: $1,601,872

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 11/27/2018

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