Explanation of Chages

Explanation for Program Changes or Adjustments

There is one form being changed as a part of this non substantive change request. This change request includes minor revised language, formatting and rewording to improve clarity and readability of the data collection forms.

CDC is requesting non-substantive changes to the CDC Initial Screening form. The purpose of this change is to streamline the data collection by providing clarifying language and reformatting the questions to streamline the forms for both travelers and CDC staff conducting these screenings.

Details of each collection instrument are as follows:

ABCs:

This non-substantive change request includes minor proposed changes to 1 approved data collection tools (form/s) detailed below: 

Approved Forms: 

1. CDC Initial Screening

CDC Initial Screening Form
Type of Change	Itemized Changes / Justification	Impact to Burden
Revision/Deletion	Today or in the past 2 days: have you had any of the following symptoms? Fever (100.4° F / 38° C or higher), or feeling feverish, or chills? ☐ Yes ☐ No Justification: Removed “Chills” as a separate line and combined with question related to fever.	No change to burden
Revision	New or unusual headache or muscle aches? Justification: Changed “body” to “muscle” to provide clarity for travelers.	No change to burden
Addition	Rash ☐ Yes ☐ No Justification: Updated to align with symptoms listed on CDC’s website: Traveling to the United States from Rwanda | Marburg | CDC	No change to burden
Addition	Chest pain or sore throat? ☐ Yes ☐ No   Justification: Updated to align with symptoms listed on CDC’s website: Traveling to the United States from Rwanda | Marburg | CDC	No change to burden
Addition/Revision	Nausea, vomiting or diarrhea? ☐ Yes ☐ No Justification: Added “nausea” and “vomiting” to align with symptoms listed on CDC’s website: Traveling to the United States from Rwanda | Marburg | CDC	No change to burden
Addition/Revision	While you were in Rwanda, in the past 21 days: Were you in any of the following districts? ☐ Yes ☐ No [Screener to provide current list of outbreak districts] Justification: Clarified that the question refers to presence in Rwanda in the past 21 days and list affected districts to align with CDC's Level 3 Travel Health Notice - Marburg in Rwanda	No change to burden
Deletion/Revision	While you were in any of the districts listed above in the past 21 days: Justification: Revised title of section to provide clarify for travelers and screeners.	No change to burden
Deletion/Revision	Were you present in any healthcare facility (such as hospital or clinic) or did you visit a traditional healer? ☐ Yes ☐ No Justification: Revised question to provide clarify for travelers.	No change to burden
Revision	Did you provide health care to or have any other contact with patients? ☐ Yes ☐ No Justification: Revised question to provide clarify for travelers.	No change to burden