Information Collection Request

[NCEZID] 2024 Marburg Traveler Symptom Monitoring & Feedback

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

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-XXXX 2024 Marburg Response Survey of Travelers Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Weekly Group Web Survey for Symptomatic Travelers Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Weekly Group Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Daily Group_Web Survey for Symptomatic Travelers Form and Instruction New Available
Form 0920-XXXX 2024 Marburg Symptom Monitoring - Daily Group 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 New
272460 2024 Marburg Symptom Monitoring - Weekly Group Web Survey for Symptomatic Travelers Form and Instruction New
272459 2024 Marburg Symptom Monitoring - Weekly Group Form and Instruction New
272458 2024 Marburg Symptom Monitoring - Daily Group_Web Survey for Symptomatic Travelers Form and Instruction New
272456 2024 Marburg Symptom Monitoring - Daily Group Form and Instruction New

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





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