Information Collection Request

[NCEZID] 2026 Ebola Entry Screening, Monitoring, & Traveler Feedback

ICR 202605-0920-004 · OMB unassigned · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
2026 Ebola Outbreak Domestic Response: Final Survey for traveler monitoring data capture from STLHDs Form and Instruction New Repair queued
2026 Ebola Jurisdiction Traveler Monitoring Form and Instruction New Repair queued
Ebola Feedback Questionnaire for Travelers Form and Instruction New Repair queued
Ebola Web Survey for Symptomatic Travelers Form and Instruction New Repair queued
2026 Ebola symptom monitoring following airport public health assessment Weekly Group Form and Instruction New Repair queued
Ebola Web Survey for Symptomatic Travelers Form and Instruction New Repair queued
2026 Ebola symptom monitoring following airport public health assessment Daily Group Form and Instruction New Repair queued
FOLLOW UP PUBLIC HEALTH ASSESSMENT Form and Instruction New Repair queued
INITIAL PUBLIC HEALTH ASSESSMENT (PHA) Form and Instruction New Repair queued
Emergency Review Request Memo - 2026 Ebola Entry Screening Monitoring Traveler Feedback_Kuhnert signed.pdf Supplementary Document Uploaded 2026-05-20 Repair queued
Attachment K - Non-research Determination.pdf Supplementary Document Uploaded 2026-05-20 Repair queued
Attachment I -PHARS PIA.pdf Supplementary Document Uploaded 2026-05-20 Repair queued
Attachment A2-42 CFR part 71.pdf Supplementary Document Uploaded 2026-05-20 Repair queued
Attachment A1-42 USC 264.pdf Supplementary Document Uploaded 2026-05-20 Repair queued
SSB Emergency Clearance_2026 Ebola Entry Screening, Monitoring, & Traveler Feedback.docx Supporting Statement B Uploaded 2026-05-20 Repair queued
SSA Emergency Clearance_2026 Ebola Entry Screening, Monitoring, & Traveler Feedback.docx Supporting Statement A Uploaded 2026-05-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
280546 2026 Ebola Jurisdiction Final Survey Form and Instruction New2026 Ebola Outbreak Domestic Response: Final Survey for traveler monitoring data capture from STLHDs
280544 2026 Ebola Jurisdiction Traveler Monitoring Form and Instruction New2026 Ebola Jurisdiction Traveler Monitoring
280543 2026 Ebola Response Survey of Travelers Form and Instruction NewEbola Feedback Questionnaire for Travelers
280541 2026 Ebola Symptom Monitoring Web Survey Form and Instruction NewEbola Web Survey for Symptomatic Travelers
280540 2026 Ebola Symptom Monitoring Weekly Form and Instruction New2026 Ebola symptom monitoring following airport public health assessment Weekly Group
280538 2026 Ebola Symptom Monitoring Web Survey Form and Instruction NewEbola Web Survey for Symptomatic Travelers
280537 2026 Ebola Symptom Monitoring Daily Form and Instruction New2026 Ebola symptom monitoring following airport public health assessment Daily Group
280536 Follow up PHA_2026 Ebola DRC Form and Instruction NewFOLLOW UP PUBLIC HEALTH ASSESSMENT
280528 Initial PHA _2026 Ebola DRC Form and Instruction NewINITIAL PUBLIC HEALTH ASSESSMENT (PHA)

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2026 6 Months From Approved
86,190 0 0
6,945 0 0
0 0 0





Reginfo record details
9
table that charts list of burden
IC Title Form No. Form Name
2026 Ebola Jurisdiction Final Survey N/A
2026 Ebola Jurisdiction Traveler Monitoring N/A
2026 Ebola Response Survey of Travelers N/A
2026 Ebola Symptom Monitoring Daily N/A
2026 Ebola Symptom Monitoring Web Survey N/A
2026 Ebola Symptom Monitoring Web Survey N/A
2026 Ebola Symptom Monitoring Weekly N/A
Follow up PHA_2026 Ebola DRC N/A
Initial PHA _2026 Ebola DRC N/A

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 86,190 0 0 86,190 0 0
Annual Time Burden (Hours) 6,945 0 0 6,945 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No