Notice2025-10516

Agency Forms Undergoing Paperwork Reduction Act Review

Primary source

Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.

Published
June 11, 2025

Issuing agencies

Health and Human Services DepartmentCenters for Disease Control and Prevention

Full Text

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<title>Federal Register, Volume 90 Issue 111 (Wednesday, June 11, 2025)</title>
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[Federal Register Volume 90, Number 111 (Wednesday, June 11, 2025)]
[Notices]
[Pages 24618-24619]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-10516]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-25-1255]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled ``Emergency Cruise Ship Outbreak 
Investigations (CSOIs)'' to the Office of Management and Budget (OMB) 
for review and approval. CDC previously published a ``Proposed Data 
Collection Submitted for Public Comment and Recommendations'' notice on 
November 25, 2024, to obtain comments from the public and affected 
agencies. CDC did not receive comments related to the previous notice. 
This notice serves to allow an additional 30 days for public and 
affected agency comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (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. Comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Direct 
written comments and/or suggestions regarding the items contained in 
this notice to the Attention: CDC Desk Officer, Office of Management 
and Budget, 725 17th Street NW, Washington, DC 20503 or by fax to (202) 
395-5806. Provide written comments within 30 days of notice 
publication.

Proposed Project

    Emergency Cruise Ship Outbreak Investigations (CSOIs) (OMB Control 
No. 0920-1255 Exp. 3/31/2025)--

[[Page 24619]]

Reinstatement--National Center for Environmental Health (NCEH), Centers 
for Disease Control and Prevention (CDC).

Background and Brief Description

    Established in 1975 as a cooperative activity with the cruise ship 
industry, the Centers for Disease Control and Prevention (CDC) Vessel 
Sanitation Program (VSP) develops and implements comprehensive 
operational public health programs to minimize the risk of 
gastrointestinal illness. VSP coordinates and conducts public health 
inspections, ongoing surveillance of gastrointestinal illness, and 
outbreak investigations on cruise ships.
    Under the authority of the Public Health Service Act (42 U.S.C. 264 
and 269), VSP is requesting a three-year Extension for an existing 
Generic Clearance Information Collection Request (ICR). This ICR will 
provide for the quick turnaround necessary to conduct emergency Cruise 
Ship Outbreak Investigations (CSOIs) in response to acute 
gastroenteritis (AGE) outbreaks. CSOIs are used to determine causative 
agents and their sources, modes of transmission, or risk factors. VSP's 
jurisdiction includes passenger vessels carrying 13 or more people 
sailing from foreign ports and within 15 days of arriving at a U.S. 
port.
    VSP uses its syndromic surveillance system called the ``Maritime 
Illness and Death Reporting System (MIDRS)'' (OMB Control No. 0920-
1260, Exp. 3/31/2026) to collect aggregate data about the number of 
people onboard ships in VSP's jurisdiction who are experiencing AGE 
symptoms. When the levels of illness meet VSP's alert threshold (i.e., 
at least 2% in either the passenger or crew populations), a special 
report is made to VSP via MIDRS and VSP provides environmental health 
and epidemiologic assistance. VSP considers an outbreak to be >=3% of 
reportable AGE cases in either passenger or crew populations.
    When a cruise ship has an AGE outbreak, VSP often must deploy a 
response team to meet the ship in port within 24 hours of reaching the 
outbreak threshold. In some cases, the response team must board the 
ship before its U.S. arrival and sail back to the U.S. port of 
disembarkation to conduct a more detailed and comprehensive 
epidemiologic and environmental health evaluation of the outbreak.
    VSP can ascertain causative agent, sources of exposure, modes of 
transmission, and risk factors by gathering the following types of 
information from both the affected and (seemingly) unaffected 
populations:
    <bullet> Demographic information,
    <bullet> Pre-embarkation travel information,
    <bullet> Symptoms, including type, onset, duration,
    <bullet> Contact with people who were sick or their body fluids,
    <bullet> Participation in ship and onshore activities,
    <bullet> Locations of eating and drinking, and
    <bullet> Foods and beverages consumed both on the ship and on 
shore. Rapid and flexible data collection is imperative given the 
mobile environment, the remaining duration of the voyage left for 
investigation, and the loss to follow-up if delays allow passengers to 
disembark and leave the ship, including those returning to locations 
outside of the United States.
    This Generic Clearance will cover investigations that meet all the 
following criteria:
    <bullet> The investigation is urgent in nature (i.e., timely data 
are needed to inform rapid public health action to prevent or reduce 
morbidity or mortality).
    <bullet> The investigation is characterized by undetermined agents, 
undetermined sources, undetermined modes of transmission, or 
undetermined risk factors.
    <bullet> One or more CDC staff (including trainees and fellows) 
will be deployed to the field.
    <bullet> Data collection is completed in 30 days or less (most 
CSOIs involve two to five days of data collection).
    This Generic Clearance excludes each of the following:
    <bullet> Investigations related to non-urgent outbreaks or events.
    <bullet> Investigations conducted for the primary purpose of 
program evaluation, surveillance, needs assessment, or research (e.g., 
to contribute to generalizable knowledge).
    <bullet> Investigations with data collection expected for greater 
than 30 days.
    VSP estimates 10 CSOIs annually in response to cruise ship AGE 
outbreaks. The estimated number of respondents is 1,300 per CSOI, for a 
total of 13,000 respondents per year. The average time burden is 15 
minutes for each respondent. Therefore, the total estimated annual 
burden in hours is 4,063. There is no cost to respondents other than 
their time.

                                        Estimated Annualized Burden Hours
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                                                                                    Number of     Average burden
         Type of respondents                   Form name            Number of     responses per    per response
                                                                   respondents     respondent       (in hours)
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Cruise ship crew.....................  Self-administered                  3,000               1            15/60
                                        questionnaire.
Cruise ship crew.....................  Interview...............             450               1            15/60
Cruise ship crew.....................  Biospecimen collection..             300               1            15/60
Cruise ship passenger................  Self-administered                 10,000               1            15/60
                                        questionnaire.
Cruise ship passenger................  Interview...............           1,500               1            15/60
Cruise ship passenger................  Biospecimen collection..           1,000               1            15/60
----------------------------------------------------------------------------------------------------------------


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. 2025-10516 Filed 6-10-25; 8:45 am]
BILLING CODE 4163-18-P


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Indexed from Federal Register on June 11, 2025.

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