[Federal Register Volume 80, Number 27 (Tuesday, February 10, 2015)]
[Notices]
[Pages 7474-7475]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-02624]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-15-0821]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) has submitted
the following information collection request to the Office of
Management and Budget (OMB) for review and approval in accordance with
the Paperwork Reduction Act of 1995. The notice for the proposed
information collection is published to obtain comments from the public
and affected agencies.
Written comments and suggestions from the public and affected
agencies concerning the proposed collection of information are
encouraged. Your comments should address any of the following: (a)
Evaluate whether the proposed collection of information is necessary
for the proper performance of the functions of the agency, including
whether the information will have practical utility; (b) Evaluate the
accuracy of the agencies estimate of the burden of the proposed
collection of information, including the validity of the methodology
and assumptions used; (c) Enhance the quality, utility, and clarity of
the information to be collected; (d) Minimize the burden of the
collection of information on those who are to respond, including
through the use of appropriate automated, electronic, mechanical, or
other technological collection techniques or other forms of information
technology, e.g., permitting electronic submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or send an email to [email protected]. Written comments and/or
suggestions regarding the items contained in this notice should be
directed to the Attention: CDC Desk Officer, Office of Management and
Budget, Washington, DC 20503 or by fax to (202) 395-5806. Written
comments should be received within 30 days of this notice.
Proposed Project
Quarantine Station Illness Response Forms: Airline, Maritime, and
Land/Border Crossing (0920-0821, exp. 08/31/15)--Revision--National
Center for Emerging and Zoonotic Infectious Diseases, Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
CDC is requesting a revision to a currently approved information
collection, Quarantine Station Illness Response Forms: Airline,
Maritime, and Land/Border Crossing). This revision seeks to incorporate
the changes that resulted from activities undertaken during the
response to Ebola. These changes include two major components, both of
which have been given previous emergency clearance by OMB under Control
Number 0920-1031 and 0920-1034, with an expiration date of April 30,
2015. As a part of this revision, CDC is requesting the full three year
approval and 12 months of burden for the following:
The incorporation of two public health screening forms that are
currently used to assess risk for Ebola in travelers coming to the
United States from countries experiencing widespread transmission of
the disease. These forms are the United States Traveler Health
Declaration and a completely revised Ebola Entry Screening Risk
Assessment Form, each given approval from OMB under OMB Control No
0920-1031. The additional burden requested for the English versions of
the health declaration and the risk assessment form, as well as the
French and Arabic translation guides for the health declaration and
risk assessment forms, is 13,664 hours.
In this revision, CDC is maintaining the ability to use the Ebola
Entry Screening Risk Assessment Form in the event that a traveler is
identified as ill on a U.S.-bound flight prior to arrival. In the no
material or non-substantive change to a currently approved collection
granted by OMB on 9/18/2014, CDC requested 100 respondents and 5 hours
of burden. Because the risk assessment form is more comprehensive, it
requires more time for a traveler to complete the assessment. CDC is
requesting an additional 20 hours of burden for the purpose of
assessing ill travelers, for a total of 25 hours of burden. No
additional respondents are requested.
CDC is also requesting the incorporation of a telephonic, automated
survey administered through the Interactive Voice Response (IVR) phone
system, which asks travelers if they have developed a fever or any
other symptoms potentially indicative of Ebola exposure (OMB Control No
0920-1034). The IVR system would be implemented to assist state and
local public health authorities with active monitoring of individuals
coming to the United States from countries affected by the current
Ebola outbreak. Use of this information collection tool would be
voluntary and provides a cost- and time-saving mechanism for supporting
states with their active monitoring responsibilities. The additional
12-month annualized burden requested for the use of the IVR system is
approximately 71,400 hours.
No revisions are requested to the Air Travel, Maritime Conveyance
or Land Travel Illness and Death Investigation forms or burden
associated with these forms. The current burden associated with these
routine information collections is 314 hours.
[[Page 7475]]
This revision to 0920-0821 incorporates burden estimates provided
for the emergency information collection 0920-1031 and 0920-1034, which
have been updated and annualized. The total additional burden requested
for this revision is 105,571 respondents and 85,063 burden hours. The
estimated total burden for 0920-0821 is 109,429 respondents and 85,382
burden hours. There is no burden to respondents other than their time.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per
Respondent Form respondents responses per response (in
respondent minutes)
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Traveler........................... Airline Travel Illness or 1,626 1 5/60
Death Investigation Form.
Traveler........................... Maritime Conveyance Illness 1,873 1 5/60
or Death Investigation
Form.
Traveler........................... Land Travel Illness or 259 1 5/60
Death Investigation Form.
Traveler........................... Ebola Entry Screening Risk 100 1 15/60
Assessment Form (Ill
traveler interview:
English, French, Arabic,
or other as needed).
Traveler........................... United States Travel Health 49,238 1 15/60
Declaration (English: Hard
Copy, fillable PDF,
electronic portal).
Traveler........................... United States Travel Health 1,586 1 15/60
Declaration (French
translation guide).
Traveler........................... United States Travel Health 176 1 15/60
Declaration (Arabic
translation guide).
Traveler........................... Ebola Entry Screening Risk 3,447 1 15/60
Assessment Form (English
hard copy).
Traveler........................... Ebola Entry Screening Risk 111 1 15/60
Assessment French
translation guide.
Traveler........................... Ebola Entry Screening Risk 13 1 15/60
Assessment Arabic
translation guide.
Traveler........................... IVR Active Monitoring 49,238 21 4/60
Survey (English: Recorded).
Traveler........................... IVR Active Monitoring 1,586 21 4/60
Survey (French: Recorded).
Traveler........................... IVR Active Monitoring: 176 21 4/60
Arabic translation
assistance.
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Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Centers for Disease Control and Prevention.
[FR Doc. 2015-02624 Filed 2-9-15; 8:45 am]
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