[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
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
             Respondent                          Form               respondents    responses per   response  (in
                                                                                    respondent       minutes)
----------------------------------------------------------------------------------------------------------------
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.
----------------------------------------------------------------------------------------------------------------


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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