[NCZEID] Report of Illness or Death: Interstate Travel of Persons (42 CFR part 70)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-26-0140 TB Aircraft Contact Investigation Outcome Reporting Form	Form and Instruction	New	Available
Form 0920-26-0140 Rubella Contact Investigation Outcome Reporting Form – Air	Form and Instruction	New	Available
Form 0920-26-0140 Measles Aircraft Contact Investigation Outcome Reporting Form	Form and Instruction	New	Available
Form 0920-26-0140 General Aircraft Contact Investigation Outcome Reporting Form	Form and Instruction	New	Available
Form 0920-26-0140 Domestic Manifest Order Template	Form and Instruction	New	Available
Form 0920-26-0140 International Airline Manifest Order Template	Form and Instruction	New	Available
Form 0920-26-0140 Passenger Locator Form - DOMESTIC	Form and Instruction	New	Available
Form 0920-26-0140 Passenger Locator Form - INTERNATIONAL	Form and Instruction	New	Available
Form 0920-26-0140 Air Travel Illness or Death Investigation Form	Form and Instruction	New	Available
Form 0920-26-0140 42 CFR 71.33 Report by Persons in Isolation or Surveillance	Form and Instruction	New	Available
Form 0920-26-0140 42 CFR 70.11 - Report of death or illness onboard aircraft operated by airline	Form and Instruction	Modified	Available
Form 0920-26-0140 42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel	Form and Instruction	Modified	Source copy available
Attachment K - CDC FAA Memorandum of Agreement.pdf	Supplementary Document	Uploaded 2026-03-23	Available
Attachment M - Non-researchDetermination_0920-0488.pdf	Supplementary Document	Uploaded 2026-03-23	Available
Attachment B2 - 60-day FRN 0920-0488 Public Comment.docx	Public Comments	Uploaded 2026-03-23	Repair queued
Attachment B2 - 60-day FRN 0920-0488 Public Comments-3.19.26.docx	Public Comments	Uploaded 2026-03-23	Available
Attachment A3 42 CFR 70.pdf	Supplementary Document	Uploaded 2026-03-23	Available
Attachment A2 42 CFR 71.pdf	Supplementary Document	Uploaded 2026-03-23	Available
Attachment A1 Section 361 of the Public Health Service Act (42 USC 264).pdf	Supplementary Document	Uploaded 2026-03-23	Available
0920-0488 _30_Day_FRN_Notice_Clean.docx	Supplementary Document	Uploaded 2026-03-23	Repair queued
Attachment F 0920-0488 CDC Non-research determination.pdf	Supplementary Document	Uploaded 2022-06-24	Available
Attachment E Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2022-06-24	Available
Attachment D CDC FAA Memorandum of Agreement.pdf	Supplementary Document	Uploaded 2022-06-24	Available
Attachment C Public Comment-0920-0488-Final.docx	Supplementary Document	Uploaded 2022-06-24	Available
Attachment B 60-Day FRN-4.1.2022.pdf	Supplementary Document	Uploaded 2022-06-24	Available
SSB_0920-0488Aviation-RelatedPublicHealthActivities_30d_Final.docx	Supporting Statement B	Uploaded 2026-03-23	Repair queued
SSA_0920-0488.docx	Supporting Statement A	Uploaded 2026-03-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
279581	TB Aircraft Contact Investigation Outcome Reporting Form	Form and Instruction	New	TB Aircraft Contact Investigation Outcome Reporting Form
279581	TB Aircraft Contact Investigation Outcome Reporting Form	Form and Instruction	New
279580	Rubella Contact Investigation Outcome Reporting Form – Air	Form and Instruction	New	Rubella Contact Investigation Outcome Reporting Form – Air
279580	Rubella Contact Investigation Outcome Reporting Form – Air	Form and Instruction	New
279579	Measles Contact Investigation Outcome Reporting Form – Air	Form and Instruction	New	Measles Aircraft Contact Investigation Outcome Reporting Form
279579	Measles Contact Investigation Outcome Reporting Form – Air	Form and Instruction	New
279578	General Contact Investigation Outcome Reporting Form -Air	Form and Instruction	New	General Aircraft Contact Investigation Outcome Reporting Form
279578	General Contact Investigation Outcome Reporting Form -Air	Form and Instruction	New
279577	Domestic Airline Manifest Order Template	Form and Instruction	New	Domestic Manifest Order Template
279577	Domestic Airline Manifest Order Template	Form and Instruction	New
279576	International Airline Manifest Order Template	Form and Instruction	New	International Airline Manifest Order Template
279576	International Airline Manifest Order Template	Form and Instruction	New
279575	Public Health Passenger Locator Form: limited onboard exposure* (domestic flights)	Form and Instruction	New	Passenger Locator Form - DOMESTIC
279575	Public Health Passenger Locator Form: limited onboard exposure* (domestic flights)	Form and Instruction	New
279574	Public Health Passenger Locator Form: limited onboard exposure* (international flights)	Form and Instruction	New	Passenger Locator Form - INTERNATIONAL
279574	Public Health Passenger Locator Form: limited onboard exposure* (international flights)	Form and Instruction	New
279573	Air Travel Illness or Death Investigation Form	Form and Instruction	New	Air Travel Illness or Death Investigation Form
279573	Air Travel Illness or Death Investigation Form	Form and Instruction	New
279572	42 CFR 71.33 Report by Persons in Isolation or Surveillance	Form and Instruction	New	42 CFR 71.33 Report by Persons in Isolation or Surveillance
279572	42 CFR 71.33 Report by Persons in Isolation or Surveillance	Form and Instruction	New
234025	42 CFR 70.11 Report of death or illness onboard aircraft operated by airline	Form and Instruction	Modified	42 CFR 70.11 - Report of death or illness onboard aircraft operated by airline
234025	42 CFR 70.11 Report of death or illness onboard aircraft operated by airline	Form and Instruction	Modified
205723	42 CFR 71.21 - Death/Illness Reports from Aircraft	Form and Instruction	Modified	42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel
205723	42 CFR 71.21 - Death/Illness Reports from Aircraft	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0488	ICR Reference No: 202603-0920-009
Status: Received in OIRA	Previous ICR Reference No: 202206-0920-013
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-26-0140
Title: [NCZEID] Report of Illness or Death: Interstate Travel of Persons (42 CFR part 70)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/23/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	6,535	1,600
Time Burden (Hours)	2,583	186
Cost Burden (Dollars)	0	0

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Abstract: The goal of this information collection is to ensure that CDC can collect data related to communicable diseases or deaths that occur aboard conveyances during interstate travel within the United States. Data is used by CDC to assess and respond to reports of communicable disease or death that occur on conveyances engaged in interstate travel, and assist state and local health authorities if an illness or death occurs that poses a risk to public health. As required by regulation, all instances of communicable disease characterized by certain signs and symptoms must be reported to the local health authority with jurisdiction over the arrival port. CDC has accepted reports to CDC as fulfilling this requirement. CDC also requests reports of all deaths occurring during domestic flights. In this Revision, CDC is consolidating several aviation‑related information collections under one OMB control number to streamline PRA submissions and align burden estimates with current post‑COVID‑19 reporting levels. Multiple forms were updated to reflect new terminology, revised exposure and symptom fields, updated security and submission instructions, and alignment with Executive Order 14168 by replacing “gender” with “sex.” Most affected tools also had their OMB Control Numbers updated to 0920‑0488 for consistency.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
   US Code: 42 USC 70-71 Name of Law: Interstate Quarantine
  

Citations for New Statutory Requirements: EO: EO 14168

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 1316	01/13/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 12806	03/17/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
42 CFR 70.11 Report of death or illness onboard aircraft operated by airline	0920-26-0140	42 CFR 70.11 - Report of death or illness onboard aircraft operated by airline
42 CFR 71.21 - Death/Illness Reports from Aircraft	0920-26-0140	42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel
42 CFR 71.33 Report by Persons in Isolation or Surveillance	0920-26-0140	42 CFR 71.33 Report by Persons in Isolation or Surveillance
Air Travel Illness or Death Investigation Form	0920-26-0140	Air Travel Illness or Death Investigation Form
Domestic Airline Manifest Order Template	0920-26-0140	Domestic Manifest Order Template
General Contact Investigation Outcome Reporting Form -Air	0920-26-0140	General Aircraft Contact Investigation Outcome Reporting Form
International Airline Manifest Order Template	0920-26-0140	International Airline Manifest Order Template
Measles Contact Investigation Outcome Reporting Form – Air	0920-26-0140	Measles Aircraft Contact Investigation Outcome Reporting Form
Public Health Passenger Locator Form: limited onboard exposure* (domestic flights)	0920-26-0140	Passenger Locator Form - DOMESTIC
Public Health Passenger Locator Form: limited onboard exposure* (international flights)	0920-26-0140	Passenger Locator Form - INTERNATIONAL
Rubella Contact Investigation Outcome Reporting Form – Air	0920-26-0140	Rubella Contact Investigation Outcome Reporting Form – Air
TB Aircraft Contact Investigation Outcome Reporting Form	0920-26-0140	TB Aircraft Contact Investigation Outcome Reporting Form

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	6,535	1,600	0	3,407	1,528	0
Annual Time Burden (Hours)	2,583	186	0	715	1,682	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: CDC is requesting a 3‑year approval to consolidate several aviation‑related information collections under one OMB control number, resulting in a total of 2,585 estimated burden hours.

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Annual Cost to Federal Government: $750,918

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/23/2026

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