National Park Service (NPS) Office of Public Health (OPH) Disease Reporting and Surveillance Forms

OMB 1024-0286

This is a request to approve a collection currently in use without a valid OMB control number. The Disease Reporting and Surveillance System (DRSS) has been in operation in Yellowstone National Park (YELL) since 2008. As a part of this request, we would like to request approval to use two new forms (“Concession/Partner Employee Illness Report” and “Tour Vehicle Passenger Illness Report”) at three parks to include Yellowstone, Grand Teton (GRTE) and Glacier (GLAC) National Parks because visitors tend to visit these three parks in succession during a single trip. The surveillance and monitoring efforts in one park may help reduce the risk of disease transmission to other parks within the system.

The latest form for National Park Service (NPS) Office of Public Health (OPH) Disease Reporting and Surveillance Forms expires 2023-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form NPS Form 10-686 DRSS TOUR VEHICLE PASSENGER ILLNESS REPORT Form
Form NPS Form 10-685 (DRSS) CONCESSION/PARTNER EMPLOYEE ILLNESS REPORT Form
1024-0286 30-Day FRN (88 FR 31275).pdf Supplementary Document
54 U.S.C. §100101 NPS Organic Act of 1916 .pdf Supplementary Document
42 U.S. Code CHAPTER 6A—PUBLIC HEALTH SERVICE.pdf Supplementary Document
INTERIOR_NPS-10.Central Files (86 FR 50156.pdf Supplementary Document
1024-0286 DRSS 60-day FRN (87 FR 55845).pdf Supplementary Document
1024-0286 DRSS SSA 3-10-2023.docx Supporting Statement A
DRSS TOUR VEHICLE PASSENGER ILLNESS REPORT Form
(DRSS) CONCESSION/PARTNER EMPLOYEE ILLNESS REPORT Form

All Historical Document Collections

202303-1024-001 Approved with change	Revision of a currently approved collection	2023-05-17
201907-1024-002 Approved with change	Existing collection in use without an OMB Control Number	2020-01-30

OMB Details

(DRSS) CONCESSION/PARTNER EMPLOYEE ILLNESS REPORT

Federal Enterprise Architecture: Health - Public Health Monitoring

Form NPS Form 10-685

DISEASE REPORTING AND SURVEILLANCE SYSTEM (DRSS) CONCESSION/PARTNER EMPLOYEE ILLNESS REPORT

Fillable Fileable

Form

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