Proposed Data Collection Submitted for Public Comment and Recommendations
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Abstract
The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled 2024 Marburg Airport Entry Questionnaires. This information collection is intended to assess risk for infection or exposure to Marburg in travelers coming to the United States from areas affected by an outbreak of Marburg originating in Rwanda.
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<title>Federal Register, Volume 89 Issue 203 (Monday, October 21, 2024)</title>
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[Federal Register Volume 89, Number 203 (Monday, October 21, 2024)]
[Notices]
[Pages 84142-84144]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-24304]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-25-25AE; Docket No. CDC-2024-0078]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing effort to reduce public burden and maximize the
utility of government information, invites the general public and other
federal agencies the opportunity to comment on a proposed and/or
continuing information collection, as required by the Paperwork
Reduction Act of 1995. This notice invites comment on a proposed
information collection project titled 2024 Marburg Airport Entry
Questionnaires. This information collection is intended to assess risk
for infection or exposure to Marburg in travelers coming to the United
States from areas affected by an outbreak of Marburg originating in
Rwanda.
DATES: CDC must receive written comments on or before December 20,
2024.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0078 by either of the following methods:
<bullet> Federal eRulemaking Portal: <a href="http://www.regulations.gov">www.regulations.gov</a>. Follow
the instructions for submitting comments.
<bullet> Mail: Jeffrey M. Zirger, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road
NE, MS H21-8, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to <a href="http://www.regulations.gov">www.regulations.gov</a>.
Please note: Submit all comments through the Federal eRulemaking
portal (<a href="http://www.regulations.gov">www.regulations.gov</a>) or by U.S. mail to the address listed
above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact Jeffrey M. Zirger, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570;
Email: <a href="/cdn-cgi/l/email-protection#85eae8e7c5e6e1e6abe2eaf3"><span class="__cf_email__" data-cfemail="533c3e31133037307d343c25">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to the OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. 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;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected;
4. 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
submissions of responses; and
5. Assess information collection costs.
Proposed Project
2024 Marburg Airport Entry Questionnaires--New--National Center for
Emerging and Zoonotic Infectious
[[Page 84143]]
Diseases (NCEZID), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
The Centers for Disease Control and Prevention (CDC), National
Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division
of Global Migration Health (DGMH) requests an Emergency approval for a
New Information Collection Request (ICR). Section 361 of the Public
Health Service (PHS) Act (42 U.S.C. 264) authorizes the Secretary of
Health and Human Services (HHS) to make and enforce regulations
necessary to prevent the introduction, transmission or spread of
communicable diseases from foreign countries into the United States.
Under its delegated authority, DGMH works to fulfill this
responsibility through a variety of activities, including the operation
of Port Health Stations at ports of entry and administration of foreign
quarantine regulations; 42 Code of Federal Regulation part 71,
specifically 42 CFR 71.20 Public Health prevention measures to detect
communicable disease. This information collection concerns CDC's
statutory and regulatory authority related to conducting public health
screening of travelers upon arrival to the United States and assessing
individual travelers for public health risk following a report of
illness from a conveyance.
CDC has been tasked with conducting public health assessments at
U.S. airports of travelers coming from areas experiencing an outbreak
of Marburg originating in Rwanda. The purpose of this information
collection is to determine the public health risk that travelers from
areas affected by the 2024 outbreak of Marburg originating in Rwanda
may pose. This information will be used to: (1) determine if travelers
have symptoms consistent with Marburg virus disease (MVD) and should be
isolated and medically evaluated upon arrival in the U.S.; and (2)
assist state and local health departments with understanding which
travelers from the region may be at higher risk of becoming ill with
MVD and should be prioritized for taking certain public health
protection measures, such as isolation or quarantine.
CDC collects international travelers' contact information under
authorities in the Interim Final Rule: Control of Communicable
Diseases: Foreign Quarantine and CDC's Order Requirement for Airlines
and Operators to Collect and Transmit Designated Information for
Passengers and Crew Arriving Into the United States; Requirement for
Passengers to Provide Designated Information. Traveler contact
information is sent to CDC though an existing data-sharing
infrastructure in place between the United States Department of
Homeland Security (DHS) and HHS/CDC and approved in OMB Control Number
0920-1354. Contact information for travelers who have been to an area
affected by the outbreak during the 21 days prior to arrival will be
confirmed at the port of entry. CDC will share contact information for
these travelers with state and local health departments so that they
can do possible public health follow up, including public health
assessment of exposure risk and monitoring for MVD symptoms, and
education to travelers. These public health interventions will help
state and local health departments determine the appropriate level of
follow needed based on the traveler's level of risk and rapidly
identify any travelers with symptoms that may need to be prioritized
for more targeted public health measures, such as quarantine, due to a
higher risk of exposure to Marburg.
To implement the 2024 Marburg Airport Entry Questionnaires
information collection, CDC will first require all travelers from
designated areas affected by the 2024 outbreak of Marburg originating
in Rwanda, to undergo an initial screening to determine if CDC needs to
do further public health risk assessment or illness response at the
airport. DHS will refer travelers that have been to designated areas to
another location of the airport where CDC will ask initial MVD
screening questions. DHS will also provide the contact information they
have received to CDC electronically as part of the information
collection under OMB Control Number 0920-1354. CDC will escort
travelers to the area of the initial MVD screening and confirm with the
traveler that the contact information on file is correct. CDC will
inform DHS if there are any necessary corrections needed to the contact
information.
In this initial MVD screening setting, CDC will ask basic questions
about signs or symptoms of illness (e.g., fever, rash, diarrhea, etc.)
or possible exposure (e.g., contact with a person sick with MVD,
attendance at a funeral, etc.) as well as observe travelers to
determine if the traveler is experiencing any overt signs and symptoms
of disease, and measure their temperature with a noncontact
thermometer. If a traveler answers ``Yes'' to any of these initial
screening questions, is visibly ill, or has a fever, the traveler will
then be referred to another area of the airport for a public health
risk assessment by CDC. The public health risk assessment will help CDC
investigate further to determine if the traveler could be sick with MVD
or to get more information about a possible exposure to the Marburg
virus to determine if the traveler is high-risk.
The CDC staff member doing the initial MVD screening will escort
the traveler to the new area of the airport for further public health
risk assessment questions by other staff members of CDC. They will
indicate the reason the traveler is being referred for further public
health risk assessment to the new CDC staff member. Any traveler who is
visibly ill or reports signs or symptoms, or has an elevated
temperature measurement, will undergo an illness investigation using
the Air Travel Illness or Death Investigation or Traveler Follow up
Form that is currently approved under OMB Control Number 0920-1318.
Staff will take necessary precautions to prevent possible exposures by
any ill travelers, such as wearing appropriate personal protective
equipment during any illness investigation.
During the CDC public health risk assessment, CDC will ask more
detailed questions about possible exposures, such as symptoms, whether
they were exposed to a person with MVD, and the nature of contact
(e.g., provided direct health care). Depending on their symptoms and
how they answer, CDC may refer the person for medical care. If CDC
staff identify any travelers with high-risk exposures, management will
be coordinated directly with the health departments of jurisdiction for
both the airport where traveler is located and their final destination.
Issuance of public health orders under federal or state authorities may
also be considered. Any information from these public health risk
assessments, as well as information related to an illness investigation
will be recorded in CDC's Port Health Activity Reporting System
(PHARS), which is covered by the System of Records Notice is 09-20-
0171, Quarantine- and Traveler-Related Activities.
CDC requests OMB approval for an estimated 5,110 annual burden
hours. There is no cost to respondents other than their time to
participate.
[[Page 84144]]
Estimated Annualized Burden Hours
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Average
Number of Number of burden per Total
Type of respondents Form name respondents responses per response burden (in
respondent (in hours) hours)
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Traveler.......................... CDC Initial 43,800 1 5/60 3,650
Screening--Marburg.
Traveler.......................... POE Public Health 4,380 1 20/60 1,460
Risk Assessment
Form--CDC Marburg
Response.
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Total......................... ..................... ........... .............. ........... 5,110
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health
Ethics and Regulations, Office of Science, Centers for Disease Control
and Prevention.
[FR Doc. 2024-24304 Filed 10-18-24; 8:45 am]
BILLING CODE 4163-18-P
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