Information Collection Request

[NCEZID] 2024 Marburg Traveler Monitoring Assessment

ICR 202410-0920-014 · OMB 0920-1444 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
MVD Final Survey Form and Instruction New Available
Marburg Virus Disease Healthcare Worker Monitoring 2024 Form and Instruction New Available
Emergency Request Memo_2024 Marburg Traveler Monitoring Assessment_REVISED.docx Supplementary Document Uploaded 2024-10-10 Available
SSB Emergency Clearance 2024 Marburg Travelor Monitoring Assessment.docx Supporting Statement B Uploaded 2024-10-10 Available
SSA Emergency Clearance 2024 Marburg Traveler Monitoring Assessment.docx Supporting Statement A Uploaded 2024-10-10 Available
Attachment F- IRB Non-Research Determination.pdf Supplementary Document Uploaded 2024-10-10 Available
Attachment E-Privacy Impact Assessment.pdf Supplementary Document Uploaded 2024-10-10 Available
Attachment A2-42 CFR part 71.pdf Supplementary Document Uploaded 2024-10-10 Available
Attachment A1-42 USC 264.pdf Supplementary Document Uploaded 2024-10-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
271539 MVD Final Survey Form and Instruction New
271538 Marburg Virus Disease Healthcare Worker Monitoring 2024 Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2025 5 Months From Approved
7,350 0 0
630 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
MVD Final Survey N/A Final Survey for traveler monitoring data capture from STLHDs
Marburg Virus Disease Healthcare Worker Monitoring 2024 N/A Marburg Virus Disease Healthcare Worker Monitoring 2024

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 7,350 0 0 7,350 0 0
Annual Time Burden (Hours) 630 0 0 630 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No