Enhanced Data Collection During COVID-19 Pandemic

Foreign Quarantine Regulations (42CFR71)

OMB: 0920-0134

IC ID: 241195

Information Collection (IC) Details

View Information Collection (IC)

Enhanced Data Collection During COVID-19 Pandemic
 
No Modified
 
Mandatory
 
42 CFR 71

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0134 Enhanced Data Collection During COVID-19 Pandemic Attachment A1 Enhanced Data Collection During COVID-19 (REDCap changes CLEAN).docx Yes Yes Fillable Printable
Other-Screenshot Attachment A2 Enhanced Data Collection During COVID-19 (REDCap Screenshot).docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Quarantine- and Traveler-Related Activities, Including Records for Tracing Contact Investigation   72 FR 7086

50 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,600 0 -10,400 0 0 13,000
Annual IC Time Burden (Hours) 520 0 -1,647 0 0 2,167
Annual IC Cost Burden (Dollars) 16,870 0 -67,478 0 0 84,348

Title Document Date Uploaded
Attachment A referenced in the April 2020 change request adding the new COVID enhanced data collection form Attachment A - Maritime Conveyance Cumulative Influenza LIke Illness form.pdf 04/07/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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