Notice2025-13509
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
July 18, 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 136 (Friday, July 18, 2025)</title>
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[Federal Register Volume 90, Number 136 (Friday, July 18, 2025)]
[Notices]
[Pages 33958-33959]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-13509]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-25-24HD]
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 ``Adverse Health Outcomes Associated with
Medical Tourism Surveillance System'' 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 August 9, 2024 to obtain comments from the
public and affected agencies. CDC received four 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
Adverse Health Outcomes Associated With Medical Tourism Surveillance
System--New--National Center for Emerging and Zoonotic Infectious
Diseases (NCEZID), Centers for Disease Control and Prevention (CDC)
Background and Brief Description
Millions of Americans travel abroad each year to get medical care.
This practice of medical tourism is increasing, with even some U.S.-
based health insurance companies sending patients abroad for medical
care. Medical tourism has been associated with a variety of adverse
health outcomes including serious infection, importation of antibiotic-
resistant pathogens to the United States, and death.
Outbreaks among medical tourists can be difficult to identify for
many reasons. Complications from treatment(s) and procedure(s) obtained
abroad are underreported by U.S. healthcare facilities. Jurisdictions
throughout the United States have varying policies on reporting medical
tourism-related adverse health events to CDC that can lead to
underreporting from some jurisdictions. Infections acquired from health
care abroad may not be locally or nationally reportable. There is no
national surveillance system or mechanism for states to link cases
between jurisdictions for medical tourism-related adverse health
outcomes. This makes it difficult to identify patients with exposures
linked to the same clinic or provider abroad since they will be
returning to different parts of the United States. Collaboration with
state and local health departments is essential to detect outbreaks,
and as a federal entity, CDC can fulfill this role. The information
collected through this surveillance will help CDC detect outbreaks and
trends in cases to identify
[[Page 33959]]
prevention measures and improve awareness of risks associated with
medical tourism. State and local health departments will conduct
surveys and send them electronically to CDC. Data will be stored in an
electronic database and extracted for further analysis.
CDC requests OMB approval for an estimated 438 annual burden hours.
There is no cost to respondents other than their time to participate.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per
Type of respondents Form name respondents responses per response
respondent (in hours)
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State/Local Health department staff..... Form 1 Medical Tourism 50 15 5/60
Case Intake Form (Part B--
Medical Chart
Abstraction).
Ill persons who have experienced an Form 1 Medical Tourism 750 1 10/60
adverse health outcome related to Case Intake Form (Part A--
medical tourism. Interviews).
Ill persons who have experienced an Form 2 Medical Tourism 500 1 0.5
adverse health outcome related to Enhanced Surveillance
medical tourism. Form.
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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. 2025-13509 Filed 7-17-25; 8:45 am]
BILLING CODE 4163-18-P
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