[NCEH] Maritime Illness Database and Reporting System (MIDRS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1260 Recordkeeping of Engineering and Sanitation Records	Form and Instruction	Unchanged	Available
Form 0920-1260 72-hour Food/Activity History Template (AGE cases)	Form and Instruction	Modified	Available
Form 0920-1260 Last Symptom Check and Return to Work Clearance (food and nonfood employees)	Form and Instruction	Modified	Available
Form 0920-1260 Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew)	Form and Instruction	Modified	Available
Form 0920-1260 Three-day Pre-embarkation AGE Illness Assessment (all crew members)	Form and Instruction	Unchanged	Available
Form 0920-26-0121 VSP_72-hrFoodActivityHistoryForm	Form	Modified	Available
Form 0920-1260 Recordkeeping of AGE Surveillance Records	Form and Instruction	Unchanged	Available
Form 0920-26-0121 VSP AGE Log	Form	Modified	Available
Form 0920-1260 Daily Reports of AGE Logs	Form and Instruction	Modified	Available
Form 092-1260 Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax)	Form and Instruction	Modified	Available
Form 0920-1260 Att5a2 4 hr AGEIllnssRprt (phone email fax) 20220125	Form and Instruction	Modified	Available
Form 0920-1260 AGE Illness Report 4 hours before arrival (web)	Form and Instruction	Modified	Available
Form 0920-1260 AGE Illness Report 24 hours before arrival (phone/email/fax)	Form and Instruction	Modified	Available
Form 0920-26-0121 AGE Illness Report 24 Hours Before	Form	Modified	Available
Form 0920-1260 AGE Illness Report 24 hours before arrival (web)	Form and Instruction	Modified	Available
Attachment 4c.pdf	Public Comments	Uploaded 2026-03-18	Repair queued
Attachment 4b.pdf	Public Comments	Uploaded 2026-03-18	Available
Attachment 4a.pdf	Public Comments	Uploaded 2026-03-18	Available
Attachment 4_0920-1260_60D FRN.pdf	Supplementary Document	Uploaded 2026-03-18	Available
Attachment 3_ 42 CFR Part 71_Foreign Quarantine.pdf	Supplementary Document	Uploaded 2026-03-18	Available
Attachment 2b_42USCSection269.pdf	Supplementary Document	Uploaded 2026-03-18	Available
Attachment 2a_42USCSection264.pdf	Supplementary Document	Uploaded 2026-03-18	Available
Attachment 1_VSP Environmental Public Health Standards.pdf	Supplementary Document	Uploaded 2026-03-18	Available
30_Day_FRN_CDC__2026.docx	Supplementary Document	Uploaded 2026-03-18	Available
Att8 IntlConventionofSafetyofLifeatSea.pdf	Supplementary Document	Uploaded 2022-04-04	Available
Att7 ResearchDeterminationForm 20210916.pdf	Supplementary Document	Uploaded 2022-04-04	Available
1 - VSP MIDRS Revision List Attachments 20220125.docx	Supplementary Document	Uploaded 2022-04-04	Available
Att4b.VSP2018OperationsManual.pdf	Supplementary Document	Uploaded 2022-04-04	Available
Att4a.42CFR71.1bii.pdf	Supplementary Document	Uploaded 2022-04-04	Available
Att3b. 1987FRN_VSPfromDGMQtoNCEH.pdf	Supplementary Document	Uploaded 2022-04-04	Available
Att3a.1985FRN_VSPinDGMQ.pdf	Supplementary Document	Uploaded 2022-04-04	Available
Att2. MIDRS_60D_FRN.pdf	Supplementary Document	Uploaded 2022-04-04	Available
Att1c. 42CFRPart71 -- Foreign Quarantine.pdf	Supplementary Document	Uploaded 2022-04-04	Repair queued
Att1b.42USCSection269.pdf	Supplementary Document	Uploaded 2022-04-04	Available
Att1a. 42USCSection264.pdf	Supplementary Document	Uploaded 2022-04-04	Available
0 - Privacy Act Checklist MIDRS Rev 20220125.docx	Supplementary Document	Uploaded 2022-04-04	Available
1 - SSB_MIDRS Extension_2 19 2026.docx	Supporting Statement B	Uploaded 2026-03-18	Available
1 - SSA_MIDRS Extension_2 19 2026.docx	Supporting Statement A	Uploaded 2026-03-18	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
252608	Recordkeeping of Engineering and Sanitation Records	Form and Instruction	Unchanged	Recordkeeping of Engineering and Sanitation Records
252608	Recordkeeping of Engineering and Sanitation Records	Form and Instruction	Unchanged
252607	(Passenger) 72-hour Food/Activity History Template (AGE cases)	Form and Instruction	Modified	72-hour Food/Activity History Template (AGE cases)
252607	(Passenger) 72-hour Food/Activity History Template (AGE cases)	Form and Instruction	Modified
252606	Last Symptom Check and Return to Work Clearance (food and nonfood employees)	Form and Instruction	Modified	Last Symptom Check and Return to Work Clearance (food and nonfood employees)
252606	Last Symptom Check and Return to Work Clearance (food and nonfood employees)	Form and Instruction	Modified
252605	Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew)	Form and Instruction	Modified	Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew)
252605	Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew)	Form and Instruction	Modified
252603	Three-day Pre-embarkation AGE Illness Assessment (all crew members)	Form and Instruction	Unchanged	Three-day Pre-embarkation AGE Illness Assessment (all crew members)
252603	Three-day Pre-embarkation AGE Illness Assessment (all crew members)	Form and Instruction	Unchanged
252602	(CREW) 72-hour Food/Activity History Template (AGE cases)	Form	Modified	VSP_72-hrFoodActivityHistoryForm
252602	(CREW) 72-hour Food/Activity History Template (AGE cases)	Form	Modified
252599	Recordkeeping of AGE Surveillance Records	Form and Instruction	Unchanged	Recordkeeping of AGE Surveillance Records
252599	Recordkeeping of AGE Surveillance Records	Form and Instruction	Unchanged
252598	Daily Reports of AGE Logs	Form	Modified	VSP AGE Log
252598	Daily Reports of AGE Logs	Form and Instruction	Modified	Daily Reports of AGE Logs
252598	Daily Reports of AGE Logs	Form and Instruction	Modified
252597	Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax)	Form and Instruction	Modified	Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax)
252597	Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax)	Form and Instruction	Modified
252596	AGE Illness Report 4 hours before arrival (phone/email/fax)	Form and Instruction	Modified	Att5a2 4 hr AGEIllnssRprt (phone email fax) 20220125
252596	AGE Illness Report 4 hours before arrival (phone/email/fax)	Form and Instruction	Modified
252595	AGE Illness Report 4 hours before arrival (web)	Form and Instruction	Modified	AGE Illness Report 4 hours before arrival (web)
252595	AGE Illness Report 4 hours before arrival (web)	Form and Instruction	Modified
252594	AGE Illness Report 24 hours before arrival (phone/email/fax)	Form and Instruction	Modified	AGE Illness Report 24 hours before arrival (phone/email/fax)
252594	AGE Illness Report 24 hours before arrival (phone/email/fax)	Form and Instruction	Modified
252593	AGE Illness Report 24 hours before arrival (web)	Form	Modified	AGE Illness Report 24 Hours Before
252593	AGE Illness Report 24 hours before arrival (web)	Form and Instruction	Modified	AGE Illness Report 24 hours before arrival (web)
252593	AGE Illness Report 24 hours before arrival (web)	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1260	ICR Reference No: 202603-0920-012
Status: Received in OIRA	Previous ICR Reference No: 202204-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-26-0121
Title: [NCEH] Maritime Illness Database and Reporting System (MIDRS)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/18/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	10,000,680	10,109,580
Time Burden (Hours)	5,769,350	5,782,228
Cost Burden (Dollars)	0	0

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Abstract: The CDC’s Vessel Sanitation Program (VSP) is requesting a 3-year Paperwork Reduction Act (PRA) clearance for this revision information collection request (ICR). In the past three years, the VSP has received 13,352 AGE reports to through its “Maritime Illness Database and Reporting System (MIDRS)” (OMB Control No. 0920-1260; expiration date 04/30/2022). Since the first quarter of 2020, the COVID-19 pandemic disrupted the number of cruise ship voyages operating to U.S. ports of call. Between March 2020 and October 2021, cruise industry operations were suspended under a federally issued No Sail Order, and then subsequently under a Conditional Sailing Order to prevent the risk of introducing, transmitting, and spreading COVID-19 by cruise ship travelers. As a result, the number of AGE reports submitted to MIDRS in 2020 and 2021 was substantially lower (n=2,667 and n=1,717, respectively), compared to 2019 (n=8,968). The information collected by the VSP is designed to align with and support the collaboration between the cruise ship industry and government to define and reduce health risks associated with vessels and to ensure a healthful and clean environment for vessels’ passengers and crew. The VSP made minimal changes, based on the 2024 experience. VSP amended the numbers to better reflect record submission patterns, while still accounting for potential increases in record counts due to the addition of new ships to fleets and increases in shore-side AGE cases, which leads to increases in cruise ship AGE case counts.

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Authorizing Statute(s): US Code: 42 USC 264 Name of Law: U.S. PHSA
   US Code: 42 USC 269 Name of Law: U.S. PHSA
   US Code: 42 USC Part 71 Name of Law: Foreign Quarantine
  

Citations for New Statutory Requirements: None

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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:
	90 FR 52668	11/21/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 12808	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: 13

table that charts list of burden

IC Title	Form No.	Form Name
(CREW) 72-hour Food/Activity History Template (AGE cases)	0920-26-0121	VSP_72-hrFoodActivityHistoryForm
(Passenger) 72-hour Food/Activity History Template (AGE cases)	0920-1260	72-hour Food/Activity History Template (AGE cases)
AGE Illness Report 24 hours before arrival (phone/email/fax)	0920-1260	AGE Illness Report 24 hours before arrival (phone/email/fax)
AGE Illness Report 24 hours before arrival (web)	0920-1260, 0920-26-0121	AGE Illness Report 24 hours before arrival (web) ,   AGE Illness Report 24 Hours Before
AGE Illness Report 4 hours before arrival (phone/email/fax)	0920-1260	Att5a2 4 hr AGEIllnssRprt (phone email fax) 20220125
AGE Illness Report 4 hours before arrival (web)	0920-1260	AGE Illness Report 4 hours before arrival (web)
Daily Reports of AGE Logs	0920-1260, 0920-26-0121	Daily Reports of AGE Logs ,   VSP AGE Log
Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew)	0920-1260	Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew)
Last Symptom Check and Return to Work Clearance (food and nonfood employees)	0920-1260	Last Symptom Check and Return to Work Clearance (food and nonfood employees)
Recordkeeping of AGE Surveillance Records	0920-1260	Recordkeeping of AGE Surveillance Records
Recordkeeping of Engineering and Sanitation Records	0920-1260	Recordkeeping of Engineering and Sanitation Records
Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax)	092-1260	Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax)
Three-day Pre-embarkation AGE Illness Assessment (all crew members)	0920-1260	Three-day Pre-embarkation AGE Illness Assessment (all crew members)

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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	10,000,680	10,109,580	0	-108,900	0	0
Annual Time Burden (Hours)	5,769,350	5,782,228	0	-12,878	0	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: This is an extension request. Making minimal changes to the form and providing more accurate burden for the years of approval and 5,769,350 burden hours.

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Annual Cost to Federal Government: $0

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: 03/18/2026

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