1 - VSP MIDRS Revision List Attachments 20220125

1 - VSP MIDRS Revision List Attachments 20220125.docx

Maritime Illness Database and Reporting System (MIDRS)

1 - VSP MIDRS Revision List Attachments 20220125

OMB: 0920-1260

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List of Attachments


Attachment 1. Authorizing Legislation

1a. 42 USC Section 264 – Quarantine and Inspection - Regulations to Control Communicable Diseases

1b. 42 USC Section 269 – Quarantine and Inspection – Bills of Health

1c. 42 CFR Part 71 – Foreign Quarantine Regulations

Attachment 2. 60-day Federal Register Notice

Attachment 3. Vessel Sanitation Program Delegation

3a. 1985 Federal Register Notice VSP in DGMQ

3b. 1987 Federal Register Notice VSP from DGMQ to NCEH

Attachment 4. AGE Case Definition

4a. 42 CFR §71.1(b) ii

4b. VSP 2018 Operations Manual

Attachment 5. Medical Record Report Forms

5a. Modes of MIDRS Reporting

5a1. 24/4-hr AGE Illness Report (web)

5a2. 24/4-hr AGE Illness Report (phone/email/fax)

5a3. Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax)

(non-standard)

5a4. MIDRS quick reference guide

5b. Daily Reports of AGE Logs

5c. 72-hr Food/Activity History Template

5d. Interviews to Determine AGE Status (initial, 24-, 48-hour) (non-standard)

5e. Three-day Pre-embarkation AGE Illness Assessment (non-standard)

5f. Last Symptom Check and Return to Work Clearance (non-standard)

Attachment 6. Required Recordkeeping

6a. AGE Surveillance Records

6b. Engineering and Sanitation Records

Attachment 7. Research Determination Form

Attachment 8. International Convention of Safety of Life at Sea

Attachment 9. Privacy Impact Assessment Form


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorNCEH/ATSDR Office of Science
File Modified0000-00-00
File Created2022-04-06

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