Report of Illness or Death: Interstate Travel of Persons (42 CFR part 70)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0488 42 CFR 70.11 Report of death or illness onboard aircraft operated by airline	Form and Instruction	Modified	Available
Form 0920-0488 42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel	Form and Instruction	Modified	Missing upstream
Attachment F 0920-0488 CDC Non-research determination.pdf	Supplementary Document	Uploaded 2022-06-24	Repair queued
Attachment E Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2022-06-24	Repair queued
Attachment D CDC FAA Memorandum of Agreement.pdf	Supplementary Document	Uploaded 2022-06-24	Missing upstream
Attachment C Public Comment-0920-0488-Final.docx	Supplementary Document	Uploaded 2022-06-24	Repair queued
Attachment B 60-Day FRN-4.1.2022.pdf	Supplementary Document	Uploaded 2022-06-24	Missing upstream
SSB_Interstate Travel_0920-0488_24JUN2022.docx	Supporting Statement B	Uploaded 2022-06-24	Repair queued
SSA_Interstate Travel_0920-0488_24JUN2022.docx	Supporting Statement A	Uploaded 2022-06-24	Repair queued
Attachment 1C 42 CFR 70.pdf	Supplementary Document	Uploaded 2015-12-03	Repair queued
Attachment 1B 42 CFR 71.pdf	Supplementary Document	Uploaded 2015-12-03	Repair queued
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).pdf	Supplementary Document	Uploaded 2015-12-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234025	42 CFR 70.11 Report of death or illness onboard aircraft operated by airline	Form and Instruction	Modified
205723	42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0488	ICR Reference No: 202206-0920-013
Status: Received in OIRA	Previous ICR Reference No: 201810-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0488
Title: Report of Illness or Death: Interstate Travel of Persons (42 CFR part 70)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/29/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2022
Responses	1,600	200
Time Burden (Hours)	186	23
Cost Burden (Dollars)	0	0

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Abstract: The goal of this information collection is to ensure that CDC can collect data related to communicable diseases or deaths that occur aboard conveyances during interstate travel within the United States. Data is used by CDC to assess and respond to reports of communicable disease or death that occur on conveyances engaged in interstate travel, and assist state and local health authorities if an illness or death occurs that poses a risk to public health. As required by regulation, all instances of communicable disease characterized by certain signs and symptoms must be reported to the local health authority with jurisdiction over the arrival port. CDC has accepted reports to CDC as fulfilling this requirement. CDC also requests reports of all deaths occurring during domestic flights.In this Revision, CDC is requesting approval for an additional three years. The total burden hours from the last revision has increased from 23 to 186 hours. This is due to more reports coming in related to the COVID-19 pandemic.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
   US Code: 42 USC 70-71 Name of Law: Interstate Quarantine
  

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:
	87 FR 19093	04/01/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 38759	06/29/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
42 CFR 70.11 Report of death or illness onboard aircraft operated by airline	0920-0488	42 CFR 70.11 - Report of death or illness onboard aircraft operated by airline
42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel	0920-0488	42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel

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ICR Summary of Burden

table that charts list of burden

	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	1,600	200	0	1,400	0	0
Annual Time Burden (Hours)	186	23	0	163	0	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: Revision of 0920-0488 is submitted to permit continued collection of data and to more accurately reflect change in burden (increase to 186 burden hours annually) as a result of COVID-19 pandemic.

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Annual Cost to Federal Government: $438,168

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.     Yes

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? Yes

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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: 06/29/2022

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