Enhanced Data Collection During COVID-19 Pandemic

Foreign Quarantine Regulations (42CFR71)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0134 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0134 Enhanced Data Collection During COVID-19 Pandemic Form and Instruction
Attachment A2-Maritime-Enhanced Data Collection During COVID-19_9.17.20_REDCap_Screenshot.docx Other-Screenshot
Attachment A2-Maritime-Enhanced Data Collection During COVID-19_9.17.20_REDCap_Screenshot.docx Other-Screenshot
0920-0134 Enhanced Data Collection During COVID-19 Pandemic Attachment A1-Maritime-Enhanced Data Collection During COVID-19_9.28.20_DGMQ clean.docx Form and Instruction
0920-0134 Enhanced Data Collection During COVID-19 Pandemic Attachment A1-Maritime-Enhanced Data Collection During COVID-19_9.28.20_DGMQ clean.docx Form and Instruction
Attachment A - Maritime Conveyance Cumulative Influenza LIke Illness form.pdf Attachment A referenced in the April 2020 change request adding the new COVID enhanced data collection form IC Document
Attachment A - Maritime Conveyance Cumulative Influenza LIke Illness form.pdf Attachment A referenced in the April 2020 change request adding the new COVID enhanced data collection form IC Document

Information Collection (IC) Details

IC Title:	Enhanced Data Collection During COVID-19 Pandemic	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 71

Information Collection Instruments:

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-Maritime-Enhanced Data Collection During COVID-19_9.28.20_DGMQ clean.docx		Yes	Yes	Fillable Printable
Other-Screenshot			Attachment A2-Maritime-Enhanced Data Collection During COVID-19_9.17.20_REDCap_Screenshot.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Quarantine- and Traveler-Related Activities, Including Records for Tracing Contact Investigation	FR Citation: 72 FR 7086

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,600	2,600
Annual IC Time Burden (Hours)	563	563
Annual IC Cost Burden (Dollars)	16,870	16,870

Documents for IC

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.