Information Collection Request

Maritime Illness Database and Reporting System (MIDRS)

ICR 202204-0920-002 · OMB 0920-1260 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1260 Recordkeeping of Engineering and Sanitation Records Form and Instruction New Missing upstream
Form 0920-1260 (Passenger) 72-hour Food/Activity History Template (AGE cases) Form and Instruction New Repair queued
Form 0920-1260 Last Symptom Check and Return to Work Clearance (food and nonfood employees) Form and Instruction New Repair queued
Form 0920-1260 Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew) Form and Instruction New Missing upstream
Form 0920-1260 Three-day Pre-embarkation AGE Illness Assessment (all crew members) Form and Instruction New Repair queued
Form 0920-1260 (CREW) 72-hour Food/Activity History Template (AGE cases) Form and Instruction New Repair queued
Form 0920-1260 Recordkeeping of AGE Surveillance Records Form and Instruction New Repair queued
Form 0920-1260 Daily Reports of AGE Logs Form and Instruction New Repair queued
Form 092-1260 Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax) Form and Instruction New Repair queued
Form 0920-1260 AGE Illness Report 4 hours before arrival (phone/email/fax) Form and Instruction New Repair queued
Form 0920-1260 AGE Illness Report 4 hours before arrival (web) Form and Instruction New Available
Form 0920-1260 AGE Illness Report 24 hours before arrival (phone/email/fax) Form and Instruction New Missing upstream
Form 0920-1260 AGE Illness Report 24 hours before arrival (web) Form and Instruction New Missing upstream
71.21 (c) 72-hour food/activity history - AGE Passenger and Crew cases Form and Instruction Removed Missing upstream
71.21 (c) Recordkeeping - medical records (72-hour food/activity history) Form and Instruction Removed Available
71.21 (c) Recordkeeping – medical records (Documentation of date/time of last symptom and clearance to return to work for food and nonfood employees) Form and Instruction Removed Repair queued
71.21 (c) Documentation of date/time of last symptom and clearance to return to work for food and nonfood employees Form and Instruction Removed Repair queued
71.21(c) Recordkeeping - medical records (Documentation of 3-day pre-embarkation AGE illness assessment for all crew members) Form and Instruction Removed Missing upstream
71.21 (c) Documentation of 3-day pre-embarkation AGE illness assessment for all crew members Form and Instruction Removed Repair queued
71.21 (c) Recordkeeping – medical records (Interviews with AGE crew case cabin mates and immediate contacts to determine AGE illness status and documentation of interview dates/times) Form and Instruction Removed Repair queued
71.21 (c) Interviews with AGE crew case cabin mates and immediate contacts to determine AGE illness status and documentation of interview dates/times Form and Instruction Removed Available
71.21 (c) Recordkeeping – medical records (AGE Logs) Form and Instruction Removed Repair queued
71.21 (c) AGE Logs Form and Instruction Removed Missing upstream
71.21(c) Recordkeeping - Gastrointestinal Illnesses Report 24 and 4 hours before arrival Form and Instruction Removed Missing upstream
71.21(c) Gastrointestinal Illness Report - 24 and 4 hours before arrival (MIDRS) Form and Instruction Removed Available
Att8 IntlConventionofSafetyofLifeatSea.pdf Supplementary Document Uploaded 2022-04-04 Missing upstream
Att7 ResearchDeterminationForm 20210916.pdf Supplementary Document Uploaded 2022-04-04 Repair queued
1 - VSP MIDRS Revision List Attachments 20220125.docx Supplementary Document Uploaded 2022-04-04 Missing upstream
Att4b.VSP2018OperationsManual.pdf Supplementary Document Uploaded 2022-04-04 Repair queued
Att4a.42CFR71.1bii.pdf Supplementary Document Uploaded 2022-04-04 Repair queued
Att3b. 1987FRN_VSPfromDGMQtoNCEH.pdf Supplementary Document Uploaded 2022-04-04 Repair queued
Att3a.1985FRN_VSPinDGMQ.pdf Supplementary Document Uploaded 2022-04-04 Missing upstream
Att2. MIDRS_60D_FRN.pdf Supplementary Document Uploaded 2022-04-04 Missing upstream
Att1c. 42CFRPart71 -- Foreign Quarantine.pdf Supplementary Document Uploaded 2022-04-04 Repair queued
Att1b.42USCSection269.pdf Supplementary Document Uploaded 2022-04-04 Repair queued
Att1a. 42USCSection264.pdf Supplementary Document Uploaded 2022-04-04 Missing upstream
0 - Privacy Act Checklist MIDRS Rev 20220125.docx Supplementary Document Uploaded 2022-04-04 Missing upstream
Att10.PIA.pdf Supplementary Document Uploaded 2019-02-21 Repair queued
Att9.IntlConventionofSafetyofLifeatSea.pdf Supplementary Document Uploaded 2019-02-21 Repair queued
Att6.ResearchDeterminationForm.pdf Supplementary Document Uploaded 2019-02-21 Available
Att4b.VSP2018OperationsManual.pdf Supplementary Document Uploaded 2019-02-21 Missing upstream
Att3b. 1987FRN_VSPfromDGMQtoNCEH.pdf Supplementary Document Uploaded 2019-02-20 Repair queued
Att3a.1985FRN_VSPinDGMQ.pdf Supplementary Document Uploaded 2019-02-20 Repair queued
Att2.60dayFRN.pdf Supplementary Document Uploaded 2019-02-20 Repair queued
Att1c. 42CFRPart71.pdf Supplementary Document Uploaded 2019-02-20 Repair queued
Att1b.42USCSection269.pdf Supplementary Document Uploaded 2019-02-20 Missing upstream
Att1a. 42USCSection264.pdf Supplementary Document Uploaded 2019-02-20 Repair queued
1 - SSB_MIDRS Revision 20220125.docx Supporting Statement B Uploaded 2022-04-04 Repair queued
1 - SSA_MIDRS Revision 202200404 v2.docx Supporting Statement A Uploaded 2022-04-04 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
252608 Recordkeeping of Engineering and Sanitation Records Form and Instruction New
252607 (Passenger) 72-hour Food/Activity History Template (AGE cases) Form and Instruction New
252606 Last Symptom Check and Return to Work Clearance (food and nonfood employees) Form and Instruction New
252605 Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew) Form and Instruction New
252603 Three-day Pre-embarkation AGE Illness Assessment (all crew members) Form and Instruction New
252602 (CREW) 72-hour Food/Activity History Template (AGE cases) Form and Instruction New
252599 Recordkeeping of AGE Surveillance Records Form and Instruction New
252598 Daily Reports of AGE Logs Form and Instruction New
252597 Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax) Form and Instruction New
252596 AGE Illness Report 4 hours before arrival (phone/email/fax) Form and Instruction New
252595 AGE Illness Report 4 hours before arrival (web) Form and Instruction New
252594 AGE Illness Report 24 hours before arrival (phone/email/fax) Form and Instruction New
252593 AGE Illness Report 24 hours before arrival (web) Form and Instruction New
235080 71.21 (c) 72-hour food/activity history - AGE Passenger and Crew cases Form and Instruction Removed
235079 71.21 (c) Recordkeeping - medical records (72-hour food/activity history) Form and Instruction Removed
235078 71.21 (c) Recordkeeping – medical records (Documentation of date/time of last symptom and clearance to return to work for food and nonfood employees) Form and Instruction Removed
235077 71.21 (c) Documentation of date/time of last symptom and clearance to return to work for food and nonfood employees Form and Instruction Removed
235076 71.21(c) Recordkeeping - medical records (Documentation of 3-day pre-embarkation AGE illness assessment for all crew members) Form and Instruction Removed
235075 71.21 (c) Documentation of 3-day pre-embarkation AGE illness assessment for all crew members Form and Instruction Removed
235074 71.21 (c) Recordkeeping – medical records (Interviews with AGE crew case cabin mates and immediate contacts to determine AGE illness status and documentation of interview dates/times) Form and Instruction Removed
235073 71.21 (c) Interviews with AGE crew case cabin mates and immediate contacts to determine AGE illness status and documentation of interview dates/times Form and Instruction Removed
235072 71.21 (c) Recordkeeping – medical records (AGE Logs) Form and Instruction Removed
235071 71.21 (c) AGE Logs Form and Instruction Removed
235070 71.21(c) Recordkeeping - Gastrointestinal Illnesses Report 24 and 4 hours before arrival Form and Instruction Removed
235047 71.21(c) Gastrointestinal Illness Report - 24 and 4 hours before arrival (MIDRS) Form and Instruction Removed
ICR Details
0920-1260 202204-0920-002
Received in OIRA 201812-0920-009
HHS/CDC 0920-1260
Maritime Illness Database and Reporting System (MIDRS)
Revision of a currently approved collection   No
Regular 04/05/2022
  Requested Previously Approved
36 Months From Approved 04/30/2022
10,109,580 13,750
5,782,228 1,538
0 0

The CDC’s Vessel Sanitation Program (VSP) is requesting a 3-year Paperwork Reduction Act (PRA) clearance for this revision information collection request (ICR). In the past three years, the VSP has received 13,352 AGE reports to through its “Maritime Illness Database and Reporting System (MIDRS)” (OMB Control No. 0920-1260; expiration date 04/30/2022). Since the first quarter of 2020, the COVID-19 pandemic disrupted the number of cruise ship voyages operating to U.S. ports of call. Between March 2020 and October 2021, cruise industry operations were suspended under a federally issued No Sail Order, and then subsequently under a Conditional Sailing Order to prevent the risk of introducing, transmitting, and spreading COVID-19 by cruise ship travelers. As a result, the number of AGE reports submitted to MIDRS in 2020 and 2021 was substantially lower (n=2,667 and n=1,717, respectively), compared to 2019 (n=8,968). The information collected by the VSP is designed to align with and support the collaboration between the cruise ship industry and government to define and reduce health risks associated with vessels and to ensure a healthful and clean environment for vessels’ passengers and crew.

US Code: 42 USC 264 Name of Law: U.S. PHSA
   US Code: 42 USC 269 Name of Law: U.S. PHSA
  
None

Not associated with rulemaking

  86 FR 58915 10/25/2021
87 FR 19095 04/01/2022
No

13
IC Title Form No. Form Name
(CREW) 72-hour Food/Activity History Template (AGE cases) 0920-1260 72-hour Food/Activity History Template (AGE cases)
(Passenger) 72-hour Food/Activity History Template (AGE cases) 0920-1260 72-hour Food/Activity History Template (AGE cases)
71.21 (c) 72-hour food/activity history - AGE Passenger and Crew cases NA 72-hr Food/Activity History Template
71.21 (c) AGE Logs NA VSP AGE Log
71.21 (c) Documentation of 3-day pre-embarkation AGE illness assessment for all crew members NA Documentation of 3-day pre-embarkation AGE illness assessment
71.21 (c) Documentation of date/time of last symptom and clearance to return to work for food and nonfood employees NA Documentation of Last Symptom and Clearance to Return to Work
71.21 (c) Interviews with AGE crew case cabin mates and immediate contacts to determine AGE illness status and documentation of interview dates/times NA Documentation of Interviews with AGE Crew Case Cabin Mates and Immediate Contacts to Determine AGE Illness Status
71.21 (c) Recordkeeping - medical records (72-hour food/activity history) NA Gastrointestinal Illness Surveillance System Questionnaire
71.21 (c) Recordkeeping – medical records (AGE Logs) NA VSP AGE Log
71.21 (c) Recordkeeping – medical records (Documentation of date/time of last symptom and clearance to return to work for food and nonfood employees) NA Documentation of Last Symptom and Clearance to Return to Work
71.21 (c) Recordkeeping – medical records (Interviews with AGE crew case cabin mates and immediate contacts to determine AGE illness status and documentation of interview dates/times) NA Documentation of Interviews with AGE Crew Case Cabin Mates and Immediate Contacts to Determine AGE Illness Status
71.21(c) Gastrointestinal Illness Report - 24 and 4 hours before arrival (MIDRS) NA, NA Gastrointestinal Illness (GI) Template ,   MIDRS Template - screenshot
71.21(c) Recordkeeping - Gastrointestinal Illnesses Report 24 and 4 hours before arrival NA Recordkeeping - MIDRS Template
71.21(c) Recordkeeping - medical records (Documentation of 3-day pre-embarkation AGE illness assessment for all crew members) NA Documentation of 3-day pre-embarkation AGE illness assessment
AGE Illness Report 24 hours before arrival (phone/email/fax) 0920-1260 AGE Illness Report 24 hours before arrival (phone/email/fax)
AGE Illness Report 24 hours before arrival (web) 0920-1260 AGE Illness Report 24 hours before arrival (web)
AGE Illness Report 4 hours before arrival (phone/email/fax) 0920-1260 Att5a2 4 hr AGEIllnssRprt (phone email fax) 20220125
AGE Illness Report 4 hours before arrival (web) 0920-1260 AGE Illness Report 4 hours before arrival (web)
Daily Reports of AGE Logs 0920-1260 Daily Reports of AGE Logs
Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew) 0920-1260 Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew)
Last Symptom Check and Return to Work Clearance (food and nonfood employees) 0920-1260 Last Symptom Check and Return to Work Clearance (food and nonfood employees)
Recordkeeping of AGE Surveillance Records 0920-1260 Recordkeeping of AGE Surveillance Records
Recordkeeping of Engineering and Sanitation Records 0920-1260 Recordkeeping of Engineering and Sanitation Records
Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax) 092-1260 Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax)
Three-day Pre-embarkation AGE Illness Assessment (all crew members) 0920-1260 Three-day Pre-embarkation AGE Illness Assessment (all crew members)

  Total Request 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 10,109,580 13,750 0 10,081,830 14,000 0
Annual Time Burden (Hours) 5,782,228 1,538 0 5,778,244 2,446 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The overarching goal of this ICR is to improve AGE illness reporting by the cruise industry while also improving the reporting systems in order to achieve a measurable health impact.CDC has revised its burden estimates for an increase of 10,103,030 annual responses (n=10,116,780) compared to that approved in 2019 (n=13,750). CDC also estimates the total annualized time burden is 5,782,228 hours, which is an increase of 5,780,690 hours compared to the previously approved 1,538 hours.

$0
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
Yes
Odion Clunis 770 488-0045 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/05/2022