National Park Service (NPS) Office of Public Health (OPH) Disease Reporting and Surveillance Forms

Forms and Documents

Document Name	Status
Form NPS Form 10-686 DRSS TOUR VEHICLE PASSENGER ILLNESS REPORT Form	New
Form NPS Form 10-685 (DRSS) CONCESSION/PARTNER EMPLOYEE ILLNESS REPORT Form	New
1024-DRSS 30 day FRN (published).pdf Supplementary Document	2020-01-30
60 Day FRN.pdf Supplementary Document	2019-08-12
OPH DRSS SSA 10.30.2020.docx Supporting Statement A	2020-10-30

IC Document Collections

IC ID	Document Title	Status
236926	DRSS TOUR VEHICLE PASSENGER ILLNESS REPORT Form	New
236925	(DRSS) CONCESSION/PARTNER EMPLOYEE ILLNESS REPORT Form	New

ICR Details

OMB Control No: 1024-0286	ICR Reference No: 201907-1024-002
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOI/NPS	Agency Tracking No: 1024-DRSS
Title: National Park Service (NPS) Office of Public Health (OPH) Disease Reporting and Surveillance Forms
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/30/2020
	Date Received in OIRA: 01/30/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2023	36 Months From Approved
Responses	390	0	0
Time Burden (Hours)	73	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request to approve a collection currently in use without a valid OMB control number. The Disease Reporting and Surveillance System (DRSS) has been in operation in Yellowstone National Park (YELL) since 2008. As a part of this request, we would like to request approval to use two new forms (“Concession/Partner Employee Illness Report” and “Tour Vehicle Passenger Illness Report”) at three parks to include Yellowstone, Grand Teton (GRTE) and Glacier (GLAC) National Parks because visitors tend to visit these three parks in succession during a single trip. The surveillance and monitoring efforts in one park may help reduce the risk of disease transmission to other parks within the system.

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Authorizing Statute(s): US Code: 42 USC 6A Name of Law: Public Health Service Act
   US Code: 54 USC 100101 Name of Law: The NPS Organic Act of 1916
  

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:
	81 FR 90867	12/15/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 5029	01/28/2020
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
(DRSS) CONCESSION/PARTNER EMPLOYEE ILLNESS REPORT	NPS Form 10-685	DISEASE REPORTING AND SURVEILLANCE SYSTEM (DRSS) CONCESSION/PARTNER EMPLOYEE ILLNESS REPORT
DRSS TOUR VEHICLE PASSENGER ILLNESS REPORT	NPS Form 10-686	DISEASE REPORTING AND SURVEILLANCE SYSTEM (DRSS) TOUR VEHICLE PASSENGER ILLNESS REPORT

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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	390	0	0	390	0	0
Annual Time Burden (Hours)	73	0	0	73	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: This is a new collection

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Annual Cost to Federal Government: $17,405

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.     No

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? No

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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: 01/30/2020

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