Maritime Illness Database and Reporting System (MIDRS)

OMB 0920-1260

OMB 0920-1260

The Centers for Disease Control's (CDC) Vessel Sanitation Program (VSP) is requesting a new three-year PRA clearance to transition approval for Maritime Illness Database and Reporting System (MIDRS) and related medical records (AGE Log and 72 hour food/activity history) currently approved under Foreign Quarantine Regulations (OMB Control No. 0920-0134, expiration date 05/31/2019), sponsored by the CDC National Center for Emerging and Zoonotic Infectious Diseases (NCEZID). The MIDRS collection will monitor Acute Gastrointenteritis (AGE) illness on passenger ships (“cruise ships”), conduct sanitation inspections and epidemiologic investigations, and provide public health guidance when outbreaks occur, and formulating public health recommendations to prevent future outbreaks.

The latest form for Maritime Illness Database and Reporting System (MIDRS) expires 2022-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material
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OMB Details

71.21(c) Gastrointestinal Illness Report - 24 and 4 hours before arrival (MIDRS)

Federal Enterprise Architecture: Health - Public Health Monitoring

Form NAGastrointestinal Illness (GI) TemplateNAForm and instruction
Form NAMIDRS Template - screenshotNAForm and instruction

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


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