Information Collection Request

[NCEZID] 2024 Marburg Traveler Symptom Monitoring & Feedback

ICR 202411-0920-012 · OMB 0920-1451 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-XXXX 2024 Marburg Response Survey of Travelers_Kenyarwanda Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Response Survey of Travelers_English Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Weekly Group_Web Survey_Kinyarwanda Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Weekly Group_Web Survey_English Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Weekly Group_Kinyarwanda Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Weekly Group_English Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Daily Group Web Survey_Kinyarwanda Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Daily Group Web Survey_Engish Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Daily Group_Kinyarwanda Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Daily Group_English Form and Instruction New Available
Emergency Request Memo - 2024 Marburg Traveler Monitoring Feedback.pdf Supplementary Document Uploaded 2024-11-19 Available
Attachment G - IRB Non-research Determination.pdf Supplementary Document Uploaded 2024-11-19 Available
Attachment F - QARS SORN 09-20-0171.pdf Supplementary Document Uploaded 2024-11-19 Available
Attachment E - DCIPHER PIA.pdf Supplementary Document Uploaded 2024-11-19 Available
Attachment A2-42 CFR part 71.pdf Supplementary Document Uploaded 2024-11-19 Available
Attachment A1 - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2024-11-19 Available
SSB - Emergency Clearance 2024 Marburg Traveler Monitoring & Feedback.docx Supporting Statement B Uploaded 2024-11-19 Available
SSA - Emergency Clearance 2024 Marburg Traveler Symptom Monitoring & Feedback.docx Supporting Statement A Uploaded 2024-11-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
272462 2024 Marburg Response Survey of Travelers Form and Instruction New2024 Marburg Response Survey of Travelers_Kenyarwanda
272462 2024 Marburg Response Survey of Travelers Form and Instruction New2024 Marburg Response Survey of Travelers_English
272460 2024 Marburg Symptom Monitoring - Weekly Group Web Survey for Symptomatic Travelers Form and Instruction New2024 Marburg Symptom Monitoring - Weekly Group_Web Survey_Kinyarwanda
272460 2024 Marburg Symptom Monitoring - Weekly Group Web Survey for Symptomatic Travelers Form and Instruction New2024 Marburg Symptom Monitoring - Weekly Group_Web Survey_English
272459 2024 Marburg Symptom Monitoring - Weekly Group Form and Instruction New2024 Marburg Symptom Monitoring - Weekly Group_Kinyarwanda
272459 2024 Marburg Symptom Monitoring - Weekly Group Form and Instruction New2024 Marburg Symptom Monitoring - Weekly Group_English
272458 2024 Marburg Symptom Monitoring - Daily Group_Web Survey for Symptomatic Travelers Form and Instruction New2024 Marburg Symptom Monitoring - Daily Group Web Survey_Kinyarwanda
272458 2024 Marburg Symptom Monitoring - Daily Group_Web Survey for Symptomatic Travelers Form and Instruction New2024 Marburg Symptom Monitoring - Daily Group Web Survey_Engish
272456 2024 Marburg Symptom Monitoring - Daily Group Form and Instruction New2024 Marburg Symptom Monitoring - Daily Group_Kinyarwanda
272456 2024 Marburg Symptom Monitoring - Daily Group Form and Instruction New2024 Marburg Symptom Monitoring - Daily Group_English

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2025 5 Months From Approved
46,428 0 0
2,833 0 0
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
2024 Marburg Response Survey of Travelers 0920-XXXX, 0920-XXXX ,  
2024 Marburg Symptom Monitoring - Daily Group 0920-XXXX, 0920-XXXX ,  
2024 Marburg Symptom Monitoring - Daily Group_Web Survey for Symptomatic Travelers 0920-XXXX, 0920-XXXX ,  
2024 Marburg Symptom Monitoring - Weekly Group 0920-XXXX, 0920-XXXX ,  
2024 Marburg Symptom Monitoring - Weekly Group Web Survey for Symptomatic Travelers 0920-XXXX, 0920-XXXX ,  

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 46,428 0 0 46,428 0 0
Annual Time Burden (Hours) 2,833 0 0 2,833 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No