Information Collection Request

[NCEZID] 2024 Marburg Traveler Monitoring Assessment

ICR 202410-0920-023 · OMB 0920-1444 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
MVD Final Survey Form and Instruction Modified Available
MVD Final Survey Form and Instruction Modified Missing upstream
Marburg Virus Disease Healthcare Worker Monitoring 2024 Form and Instruction Modified Available
Marburg Virus Disease Healthcare Worker Monitoring 2024 Form and Instruction Modified Repair queued
0920-1444 Change Request-2024 Marburg Traveler Monitoring Assessment_10.13.2024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-10-24 Available
0920-1444 Change Request-2024 Marburg Traveler Monitoring Assessment_10.13.2024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-10-24 Repair queued
Att 1_Explanation for Program Changes_0920-1444_non-sub.docx Supplementary Document Uploaded 2024-10-24 Repair queued
Att 1_Explanation for Program Changes_0920-1444_non-sub.docx Supplementary Document Uploaded 2024-10-24 Missing upstream
Emergency Request Memo_2024 Marburg Traveler Monitoring Assessment_REVISED.docx Supplementary Document Uploaded 2024-10-10 Available
Emergency Request Memo_2024 Marburg Traveler Monitoring Assessment_REVISED.docx Supplementary Document Uploaded 2024-10-10 Repair queued
SSB Emergency Clearance 2024 Marburg Travelor Monitoring Assessment.docx Supporting Statement B Uploaded 2024-10-10 Available
SSB Emergency Clearance 2024 Marburg Travelor Monitoring Assessment.docx Supporting Statement B Uploaded 2024-10-10 Missing upstream
SSA Emergency Clearance 2024 Marburg Traveler Monitoring Assessment.docx Supporting Statement A Uploaded 2024-10-10 Available
SSA Emergency Clearance 2024 Marburg Traveler Monitoring Assessment.docx Supporting Statement A Uploaded 2024-10-10 Missing upstream
Attachment F- IRB Non-Research Determination.pdf Supplementary Document Uploaded 2024-10-10 Available
Attachment F- IRB Non-Research Determination.pdf Supplementary Document Uploaded 2024-10-10 Repair queued
Attachment E-Privacy Impact Assessment.pdf Supplementary Document Uploaded 2024-10-10 Available
Attachment E-Privacy Impact Assessment.pdf Supplementary Document Uploaded 2024-10-10 Repair queued
Attachment A2-42 CFR part 71.pdf Supplementary Document Uploaded 2024-10-10 Available
Attachment A2-42 CFR part 71.pdf Supplementary Document Uploaded 2024-10-10 Missing upstream
Attachment A1-42 USC 264.pdf Supplementary Document Uploaded 2024-10-10 Available
Attachment A1-42 USC 264.pdf Supplementary Document Uploaded 2024-10-10 Repair queued

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2025 03/31/2025 03/31/2025
7,350 0 7,350
630 0 630
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 7,350 0 0 0 0
Annual Time Burden (Hours) 630 630 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No