[NCEZID] 2022 Ebola Traveler Follow Up Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1376 Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting Process	Form	Modified	Available
Risk Assessment and Post-Arrival Monitoring Outcome Reporting Process for Persons with Travel History from Uganda	Form and Instruction	Modified	Available
[NCEZID] 2022 Ebola Traveler Follow Up Evaluation	Form and Instruction	Modified	Repair queued
Request for Approval [0920-1376] -2022 ERA & Post-Arrival Monitoring Outcome REDCap Reporting _11.16.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-11-29	Repair queued
Attachment D-IRB Non-Research Determination.pdf	Supplementary Document	Uploaded 2022-10-26	Repair queued
Emergency Review Request Memo - 2022 Ebola Traveler Follow Up Evaluationt-10.26.2022.pdf	Supplementary Document	Uploaded 2022-10-26	Repair queued
SSB Emergency Clearance 2022 Ebola Traveler Follow Up Evaluation 10.18.2022.docx	Supporting Statement B	Uploaded 2022-10-26	Repair queued
SSA Emergency Clearance 2022 Ebola Traveler Follow Up Evaluation_10.26.2022.docx	Supporting Statement A	Uploaded 2022-10-26	Repair queued
Attachment A2-42 CFR part 71.pdf	Supplementary Document	Uploaded 2022-10-26	Repair queued
Attachment A1-42 USC 264.pdf	Supplementary Document	Uploaded 2022-10-26	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
256626	[NCEZID] 2022 Ebola Traveler Follow Up Evaluation	Form	Modified	Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting Process
256626	[NCEZID] 2022 Ebola Traveler Follow Up Evaluation	Form and Instruction	Modified	Risk Assessment and Post-Arrival Monitoring Outcome Reporting Process for Persons with Travel History from Uganda
256626	[NCEZID] 2022 Ebola Traveler Follow Up Evaluation	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1376	ICR Reference No: 202211-0920-017
Status: Historical Active	Previous ICR Reference No: 202210-0920-014
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1376-23BE
Title: [NCEZID] 2022 Ebola Traveler Follow Up Evaluation
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/28/2022
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/09/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/29/2022
Terms of Clearance: Previous TOC continue: OMB is approving this Emergency ICR with the understanding that within 6 months from the approval date, CDC will complete a 60d and 30d public comment request to support the approval of the ICR ahead of the expiration date.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2023	04/30/2023	04/30/2023
Responses	18,200	0	18,200
Time Burden (Hours)	4,550	0	4,550
Cost Burden (Dollars)	0	0	0

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Abstract: CDC is requesting non-substantive changes to the Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting. The purpose of this change is to update the Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting to include two additional questions to document the number travelers that jurisdictions received contact information for that should be assigned to other jurisdictions as well as travelers who reported not being present in the outbreak area.

Emergency Justfication: CDC is currently sharing contact information and initial public health assessment of exposure risk to Ebola for travelers who have been in areas affected by the outbreak during the 21 days before their arrival in the United States with state and local health departments through existing data-sharing infrastructure. State and local health departments utilize the contact information provided by CDC to prioritize and identify the level of follow up needed based on the level of risk of exposure to Ebola and determine additional if additional risk assessment and/or targeted public health measures are necessary. This coordination is necessary to facilitate immediate post-arrival public health management as specified in CDC interim guidance

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Authorizing Statute(s): US Code: 42 USC 264 Name of Law: U.S. PHSA
   US Code: 42 USC Part 71 Name of Law: Foreign Quarantine Regulations
  

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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
[NCEZID] 2022 Ebola Traveler Follow Up Evaluation	0920-1376, NA	Risk Assessment and Post-Arrival Monitoring Outcome Reporting Process for Persons with Travel History from Uganda ,   Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting Process

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	18,200	18,200	0	0	0	0
Annual Time Burden (Hours)	4,550	4,550	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $2,135,790

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.     No

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? No

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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: 11/29/2022

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