Information Collection Request

[NCEZID] Traveler-based Genomic Surveillance

ICR 202308-0920-006 · OMB 0920-1406 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Traveler-based Genomic Surveillance Questionnaire Form Modified Available
RSV question justification v2.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-08-11 Available
Attachment 6-Human Subjects Determination.pdf Supplementary Document Uploaded 2023-03-09 Available
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 Available
Attachment 1C - Authorizing Legislation - Section 301.pdf Supplementary Document Uploaded 2023-03-09 Available
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 Available
1. Supporting Statement A_final.docx Supporting Statement A Uploaded 2023-03-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
259028 Traveler-based Genomic Surveillance Questionnaire Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2026 06/30/2026 06/30/2026
555,000 0 555,000
46,250 0 46,250
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Traveler-based Genomic Surveillance Questionnaire n/a Information Collection Instrument

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 555,000 555,000 0 0 0 0
Annual Time Burden (Hours) 46,250 46,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No