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

Forms and Documents

Document Name	Status
Form 0920-1180 Airline and Vessel and Traveler Information Collection Form and Instruction	New
International Non-TB Manifest Template Form and Instruction	Removed
International TB Manifest Template Form and Instruction	Removed
Attachment 8 IATA Passenger Manifest Information Request Form.pdf Supplementary Document	2020-03-21
Attachment 4 CDC Nonresearch determination Letter.pdf Supplementary Document	2020-03-21
Attachment 3 QARS Privacy Impact Assessment.pdf Supplementary Document	2020-03-21
Attachment 2a A4A Comments_CDC Proposed Data Collection.pdf Supplementary Document	2020-03-21
Attachment 1E Order under IFR.pdf Supplementary Document	2020-03-21
Attachment 1C 42 CFR part 71.pdf Supplementary Document	2020-03-21
Attachment 1B 42 CFR part 70.pdf Supplementary Document	2020-03-21
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).pdf Supplementary Document	2020-03-21
Attachment 2 60 Day FRN 0920-1180.pdf Supplementary Document	2020-03-20
2020 Rationale for OMB Changes to Manifest Orders.docx Justification for No Material/Nonsubstantive Change	2020-03-20
0920-1180_INTL Manifest Supporting Statement Part B 06022020.docx Supporting Statement B	2020-06-08
0920-1180_INTL Manifest Supporting Statement Part A_06022020.docx Supporting Statement A	2020-06-08
Attachment 10 Receipt of manifest letter.doc Supplementary Document	2017-01-13
Attachment 9 Informal manifest request template.doc Supplementary Document	2017-01-13
Attachment 8 IATA Passenger Manifest Information Request Form.pdf Supplementary Document	2017-01-13
Attachment 7 Order Cover Letter.doc Supplementary Document	2017-01-13
Attachment 4 CDC Nonresearch determination Letter.pdf Supplementary Document	2017-01-13
Attachment 3 QARS Privacy Impact Assessment.pdf Supplementary Document	2017-01-13
Attachment 2 - 60 Day FRN.docx Supplementary Document	2017-01-13
Attachment 1C 42 CFR part 70.pdf Supplementary Document	2017-01-13
Attachment 1B 42 CFR part 71.pdf Supplementary Document	2017-01-13
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).pdf Supplementary Document	2017-01-13

IC Document Collections

IC ID	Document Title	Status
240814	Airline and Vessel and Traveler Information Collection Form and Instruction	New
225158	International Non-TB Manifest Template Form and Instruction	Removed
225157	International TB Manifest Template Form and Instruction	Removed

ICR Details

OMB Control No: 0920-1180	ICR Reference No: 202003-0920-014
Status: Active	Previous ICR Reference No: 201701-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No: 16AVM
Title: Airline and Vessel and Traveler Information Collection (42 CFR Part 71)
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: 06/12/2020
	Date Received in OIRA: 04/16/2020
Terms of Clearance: Approved consistent with the understanding that any changes associated with this ICR to the collection instruments or type of information gathered is implemented as a result of the retrospective activities or other considerations ---CDC will submit these changes to OMB for review and approval.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2023	36 Months From Approved	06/30/2020
Responses	300	0	96
Time Burden (Hours)	1,800	0	576
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 regulations at 42 CFR 71.4 and 71.5, and the authorities in the Public Health Service Act and in Code of Federal Regulations (CFR), CDC can collect conveyance, passenger and crew member contact information from airlines and maritime vessels in the event that there is a communicable disease risk associated with travelers coming to the United States and public health follow-up is needed.

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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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 246	12/23/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 21235	04/16/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

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
Airline and Vessel and Traveler Information Collection	0920-1180, 0920-1180, 0920-1180, 0920-1180	International TB Manifest Order Template ,   International Non-TB Manifest Order Template ,   Informal Manifest Request Non-TB Template ,   Informal Manifest Request TB Template

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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	300	96	0	300	-96	0
Annual Time Burden (Hours)	1,800	576	0	1,800	-576	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: CDC is requesting minor changes to several information collections tools to enhance the utility and clarity for the respondent. CDC is also increasing the burden to more accurately reflect estimates of respondent burden and costs given changes in the number of contact investigations and changes in the process.

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Annual Cost to Federal Government: $502,093

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 04/16/2020

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