Notice2026-07217

Proposed Data Collection Submitted for Public Comment and Recommendations

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
April 14, 2026

Issuing agencies

Health and Human Services DepartmentCenters for Disease Control and Prevention

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 continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled U.S. Tuberculosis Follow-Up Worksheet for Newly Arrived Persons and U.S. Status Adjusters with Tuberculosis Classifications. This Tuberculosis (TB) follow-up worksheet is designed to capture TB examination information for persons newly arrived in the U.S. and for U.S. status adjusters with TB classifications and will provide outcomes for improving national TB prevention programs.

Full Text

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<title>Federal Register, Volume 91 Issue 71 (Tuesday, April 14, 2026)</title>
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[Federal Register Volume 91, Number 71 (Tuesday, April 14, 2026)]
[Notices]
[Pages 19139-19140]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-07217]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-26-1238; Docket No. CDC-2026-0563]


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 continuing information 
collection, as required by the Paperwork Reduction Act of 1995. This 
notice invites comment on a proposed information collection project 
titled U.S. Tuberculosis Follow-Up Worksheet for Newly Arrived Persons 
and U.S. Status Adjusters with Tuberculosis Classifications. This 
Tuberculosis (TB) follow-up worksheet is designed to capture TB 
examination information for persons newly arrived in the U.S. and for 
U.S. status adjusters with TB classifications and will provide outcomes 
for improving national TB prevention programs.

DATES: CDC must receive written comments on or before June 15, 2026.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2025-
0563 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#305f5d52705354531e575f46"><span class="__cf_email__" data-cfemail="335c5e51735057501d545c45">[email&#160;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

[[Page 19140]]

    5. Assess information collection costs.

Proposed Project

    Information Collection for The Electronic Disease Notification 
(EDN) System Tuberculosis Follow-Up Worksheet for Newly-Arrived Persons 
and US Status Adjusters with Overseas Tuberculosis Classifications (OMB 
Control No. 0920-1238)--Reinstatement--National Center for Emerging and 
Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    This information is designed to assist CDC in fulfilling its 
regulatory responsibility to prevent the importation and spread of 
communicable diseases from foreign countries (42 CFR part 71) and 
interstate control of communicable diseases in humans (42 CFR part 70). 
Section 361 of the Public Health Service (PHS) Act (42 U.S.C. 264) 
authorizes the Secretary of Health and Human Services to make and 
enforce regulations necessary to prevent the introduction, 
transmission, or spread of communicable disease from foreign countries 
into the United States. Under its delegated authority in 42 CFR parts 
70 and 71, the Division of Global Migration Health (DGMH) works to 
fulfill this responsibility through numerous activities that include 
monitoring the arrival of persons with Class A and Class B TB 
conditions and coordinating domestic follow-up examinations to prevent 
new transmission of TB in the United States. The TB follow-up worksheet 
is designed to capture U.S. TB examination data for newly arrived 
persons and U.S. status adjusters with Classification A and B for TB. 
The information collected by the TB follow-up worksheet will provide a 
method of performing several TB prevention activities, both 
international and domestic in nature.
    The U.S. foreign-born population had the highest incidence of TB 
compared to the U.S. non-foreign-born population. CDC strongly 
recommends incoming persons receive follow-up examinations for TB in 
the U.S. This data collection will facilitate the methodical collection 
of TB follow-up outcome data to monitor and track persons with overseas 
Classification A and B for TB and will assist in the national effort to 
prevent new transmission of TB. To accurately determine rates of TB, 
recent U.S. arrivals receive domestic follow-up evaluations. U.S. 
health departments will provide domestic follow-up outcome information 
to CDC. Without this data, DGMH will not have a method of tracking and 
monitoring newly arrived persons with overseas Classification A or B 
for TB. DGMH will use information reported on the worksheet to ensure 
that TB programs are effectively tracking new foreign arrivals and 
coordinating follow-up evaluations with local clinicians. To monitor 
and evaluate domestic TB program performance, CDC needs to collect data 
on all elements of TB domestic follow-up evaluations including chest x-
rays, diagnoses, and U.S. treatment outcomes.
    DGMH staff along with other federal partners will also use this 
information to evaluate panel physician/civil surgeon performance and 
prevention activities. To evaluate panel physician/civil surgeon 
performance and TB prevention activities, CDC needs to know the results 
of domestic chest x-rays (CXR), CXR comparison sputum smears and 
cultures, and TB diagnoses along with domestic reviews of overseas 
treatment.
    Modifications to the previously approved data collection include: 
(1) changes to the number of respondents due to more applicants 
requesting access to the EDN system since the last approval; (2) a 
change to the number of respondents due to addition of U.S. status 
adjusters with TB classification and data collection efficiencies 
(specifically using an electronic rather than paper collection system); 
and (3) minor adjustments made to the information collection in order 
to provide more clarity through enhancement of particular fields. CDC 
requests OMB approval for an estimated 3,626 annual burden hours. There 
are no costs to respondents other than their time to participate.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                      Number        Avg. burden
      Type of respondent            Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent       (in hrs.)       (in hrs.)
----------------------------------------------------------------------------------------------------------------
EDN data entry staff at state   US Tuberculosis            1,813               4             0.5           3,626
 and local health departments.   Follow-up
                                 Worksheet for
                                 Newly-Arrived
                                 and US Status
                                 Adjusters with
                                 Tuberculosis
                                 Classifications.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           3,626
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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. 2026-07217 Filed 4-13-26; 8:45 am]
BILLING CODE 4163-18-P


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Indexed from Federal Register on April 14, 2026.

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