OMB control number

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

OMB 0920-0488 · HHS/CDC.

OMB 0920-0488

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.

The latest form for [NCZEID] Report of Illness or Death: Interstate Travel of Persons (42 CFR part 70) expires 2029-09-30 and is listed under ICR 202603-0920-009.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920-26-0140 TB Aircraft Contact Investigation Outcome Reporting Form	Form and Instruction
Form 0920-26-0140 Rubella Contact Investigation Outcome Reporting Form – Air	Form and Instruction
Form 0920-26-0140 Measles Aircraft Contact Investigation Outcome Reporting Form	Form and Instruction
Form 0920-26-0140 General Aircraft Contact Investigation Outcome Reporting Form	Form and Instruction
Form 0920-26-0140 Domestic Manifest Order Template	Form and Instruction
Form 0920-26-0140 International Airline Manifest Order Template	Form and Instruction
Form 0920-26-0140 Passenger Locator Form - DOMESTIC	Form and Instruction
Form 0920-26-0140 Passenger Locator Form - INTERNATIONAL	Form and Instruction
Form 0920-26-0140 Air Travel Illness or Death Investigation Form	Form and Instruction
Form 0920-26-0140 42 CFR 71.33 Report by Persons in Isolation or Surveillance	Form and Instruction
Form 0920-26-0140 42 CFR 70.11 - Report of death or illness onboard aircraft operated by airline	Form and Instruction
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
Attachment K - CDC FAA Memorandum of Agreement.pdf	Supplementary Document
Attachment M - Non-researchDetermination_0920-0488.pdf	Supplementary Document
Attachment B2 - 60-day FRN 0920-0488 Public Comment.docx (document unavailable)	Public Comments
Attachment B2 - 60-day FRN 0920-0488 Public Comments-3.19.26.docx	Public Comments
Attachment A3 42 CFR 70.pdf	Supplementary Document
Attachment A2 42 CFR 71.pdf	Supplementary Document
Attachment A1 Section 361 of the Public Health Service Act (42 USC 264).pdf	Supplementary Document
0920-0488 _30_Day_FRN_Notice_Clean.docx (document unavailable)	Supplementary Document
Attachment F 0920-0488 CDC Non-research determination.pdf	Supplementary Document
Attachment E Privacy Impact Assessment.pdf	Supplementary Document
Attachment D CDC FAA Memorandum of Agreement.pdf	Supplementary Document
Attachment C Public Comment-0920-0488-Final.docx	Supplementary Document
Attachment B 60-Day FRN-4.1.2022.pdf (document unavailable)	Supplementary Document
SSB_0920-0488Aviation-RelatedPublicHealthActivities_30d_Final.docx (document unavailable)	Supporting Statement B
SSA_0920-0488.docx	Supporting Statement A
TB Aircraft Contact Investigation Outcome Reporting Form	Form and Instruction
TB Aircraft Contact Investigation Outcome Reporting Form	Form and Instruction
Rubella Contact Investigation Outcome Reporting Form – Air	Form and Instruction
Rubella Contact Investigation Outcome Reporting Form – Air	Form and Instruction
Measles Contact Investigation Outcome Reporting Form – Air	Form and Instruction
Measles Contact Investigation Outcome Reporting Form – Air	Form and Instruction
General Contact Investigation Outcome Reporting Form -Air	Form and Instruction
General Contact Investigation Outcome Reporting Form -Air	Form and Instruction
Domestic Airline Manifest Order Template	Form and Instruction
Domestic Airline Manifest Order Template	Form and Instruction
International Airline Manifest Order Template	Form and Instruction
International Airline Manifest Order Template	Form and Instruction
Public Health Passenger Locator Form: limited onboard exposure* (domestic flights)	Form and Instruction
Public Health Passenger Locator Form: limited onboard exposure* (domestic flights)	Form and Instruction
Public Health Passenger Locator Form: limited onboard exposure* (international flights)	Form and Instruction
Public Health Passenger Locator Form: limited onboard exposure* (international flights)	Form and Instruction
Air Travel Illness or Death Investigation Form	Form and Instruction
Air Travel Illness or Death Investigation Form	Form and Instruction
42 CFR 71.33 Report by Persons in Isolation or Surveillance	Form and Instruction
42 CFR 71.33 Report by Persons in Isolation or Surveillance	Form and Instruction
42 CFR 70.11 Report of death or illness onboard aircraft operated by airline	Form and Instruction
42 CFR 70.11 Report of death or illness onboard aircraft operated by airline	Form and Instruction
42 CFR 71.21 - Death/Illness Reports from Aircraft	Form and Instruction
42 CFR 71.21 - Death/Illness Reports from Aircraft	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202603-0920-009	Revision of a currently approved collection	2026-03-23
202206-0920-013	Revision of a currently approved collection	2022-06-29	Approved without change
201810-0920-002	Revision of a currently approved collection	2018-11-15	Approved with change
201512-0920-001	Revision of a currently approved collection	2015-12-10	Approved with change
201302-0920-007	Revision of a currently approved collection	2013-02-08	Approved with change
201301-0920-007	Revision of a currently approved collection	2013-01-24	Improperly submitted and continue
201002-0920-009	Extension without change of a currently approved collection	2010-02-24	Approved without change
200807-0920-002	Reinstatement without change of a previously approved collection	2008-07-11	Approved with change
200311-0920-001	Reinstatement without change of a previously approved collection	2003-11-07	Approved without change
200007-0920-003	New collection (Request for a new OMB Control Number)	2000-07-25	Approved without change

OMB Details

42 CFR 71.21 - Death/Illness Reports from Aircraft

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
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	NA	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.