Information Collection Request

[NCEZID] Traveler-based Genomic Surveillance

ICR 202302-0920-019 · OMB 0920-1406 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1406 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Traveler-based Genomic Surveillance Questionnaire	Form	New	Repair queued
Attachment 6-Human Subjects Determination.pdf	Supplementary Document	Uploaded 2023-03-09	Repair queued
Attachment 5-Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2023-03-09	Repair queued
Attachment 4B - Recruitment Script.docx	Supplementary Document	Uploaded 2023-03-09	Repair queued
Attachment 4A - Consent.docx	Supplementary Document	Uploaded 2023-03-09	Repair queued
Attachment 2 - 60-day FRN.pdf	Supplementary Document	Uploaded 2023-03-09	Repair queued
Attachment 1D - Authorizing Legislation - Section 311.pdf	Supplementary Document	Uploaded 2023-03-09	Repair queued
Attachment 1C - Authorizing Legislation - Section 301.pdf	Supplementary Document	Uploaded 2023-03-09	Repair queued
Attachment 1B - Authorizing Legislation - 42 CFR 71.pdf	Supplementary Document	Uploaded 2023-03-09	Repair queued
Attachment 1A - Authorizing Legislation - 42 CFR 70.pdf	Supplementary Document	Uploaded 2023-03-09	Repair queued
2. Supporting Statement B.docx	Supporting Statement B	Uploaded 2023-03-09	Repair queued
1. Supporting Statement A_final.docx	Supporting Statement A	Uploaded 2023-03-09	Repair queued

Information collection document groups
IC ID	Collection	Type	Status	Form
259028	Traveler-based Genomic Surveillance Questionnaire	Form	New

Record metadata
Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1406
Type of Information Collection	New collection (Request for a new OMB Control Number)
Agency Tracking No	0920-22ET
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31