Information Collection Request

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

ICR 202609-0920-004 · OMB 0920-1469 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Airline Feedback Survey Form and Instruction New Available
2026 Ebola-BVD Response: IPHA Form and Instruction New Available
2026 Ebola Outbreak Domestic Response: Final Survey for traveler monitoring data capture from STLHDs Form and Instruction Removed Available
2026 Ebola Jurisdiction Traveler Monitoring Form and Instruction Removed Available
US Public Health Traveler Survey Form and Instruction Modified Available
Ebola Web Survey for Symptomatic Travelers Form and Instruction Removed Available
2026 Ebola symptom monitoring following airport public health assessment Weekly Group Form and Instruction Removed Available
Ebola Web Survey for Symptomatic Travelers Form and Instruction Removed Available
2026 Ebola symptom monitoring following airport public health assessment Daily Group Form and Instruction Removed Available
2026 Ebola-BVD Response: Follow-up IPHA Form and Instruction Modified Available
Pre-Arrival Public Health Assessment for Travelors from Ebola-affected Countries Form and Instruction Modified Available
2026 Ebola-BVD Response: IPHA Form and Instruction Modified Available
Attachment J - Comment and Response_60-day FRN_0920-1469.docx Public Comments Uploaded 2026-08-01 Available
Attachment I - 0920-1469 Non-research Determination.pdf Supplementary Document Uploaded 2026-09-15 Available
Attachment H2 - 1CDP SORN 09-90-2001.pdf Supplementary Document Uploaded 2026-09-15 Available
Attachment H1 - QARS SORN 09-20-0171.pdf Supplementary Document Uploaded 2026-09-15 Available
Attachment G2 - 1CDP PIA.pdf Supplementary Document Uploaded 2026-09-15 Available
Attachment G1 - PHARS PIA.pdf Supplementary Document Uploaded 2026-09-15 Available
Attachment B - Published 60-day FRN_0920-1469_ 2026.pdf Supplementary Document Uploaded 2026-09-15 Available
Attachment A2-42 CFR part 71.pdf Supplementary Document Uploaded 2026-09-15 Available
Attachment A1-42 USC 264.pdf Supplementary Document Uploaded 2026-09-15 Available
SSB 0920-1469 2026 Ebola Entry Screening, Monitoring, & Traveler Feedback.docx Supporting Statement B Uploaded 2026-09-15 Available
SSA 0920-1469_2026 Ebola Entry Screening, Monitoring, & Traveler Feedback_final.docx Supporting Statement A Uploaded 2026-09-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
282427 Airline Feedback Survey Ebola 2026 Form and Instruction NewAirline Feedback Survey
282426 Travelers Requesting Exceptions to Travel Restrictions Form and Instruction New2026 Ebola-BVD Response: IPHA
280546 2026 Ebola Jurisdiction Final Survey Form and Instruction Removed2026 Ebola Outbreak Domestic Response: Final Survey for traveler monitoring data capture from STLHDs
280544 2026 Ebola Jurisdiction Traveler Monitoring Form and Instruction Removed2026 Ebola Jurisdiction Traveler Monitoring
280543 2026 Ebola Response Survey of Travelers Form and Instruction ModifiedUS Public Health Traveler Survey
280541 2026 Ebola Symptom Monitoring Web Survey Form and Instruction RemovedEbola Web Survey for Symptomatic Travelers
280540 2026 Ebola Symptom Monitoring Weekly Form and Instruction Removed2026 Ebola symptom monitoring following airport public health assessment Weekly Group
280538 2026 Ebola Symptom Monitoring Web Survey Form and Instruction RemovedEbola Web Survey for Symptomatic Travelers
280537 2026 Ebola Symptom Monitoring Daily Form and Instruction Removed2026 Ebola symptom monitoring following airport public health assessment Daily Group
280536 Follow up PHA_2026 Ebola DRC Form and Instruction Modified2026 Ebola-BVD Response: Follow-up IPHA
280528 Initial PHA _2026 Ebola DRC Form and Instruction ModifiedPre-Arrival Public Health Assessment for Travelors from Ebola-affected Countries
280528 Initial PHA _2026 Ebola DRC Form and Instruction Modified2026 Ebola-BVD Response: IPHA

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 10/31/2026
115,575 86,190
25,171 6,945
0 0





Reginfo record details
5
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
Airline Feedback Survey Ebola 2026 N/A
Follow up PHA_2026 Ebola DRC N/A
Initial PHA _2026 Ebola DRC N/A, N/A ,  
Travelers Requesting Exceptions to Travel Restrictions N/A

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 115,575 86,190 0 71,775 -42,390 0
Annual Time Burden (Hours) 25,171 6,945 0 20,608 -2,382 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No