Evaluation of Passengers from Japan

ICR 201103-0920-010

OMB: 0920-0882

Federal Form Document

IC Document Collections
IC ID
Document
Title
Status
197104 New
ICR Details
0920-0882 201103-0920-010
Historical Active
HHS/CDC
Evaluation of Passengers from Japan
New collection (Request for a new OMB Control Number)   No
Emergency 03/31/2011
Approved without change 03/31/2011
Retrieve Notice of Action (NOA) 03/30/2011
Approved consistent with assurance from CDC that the data collection will not extend beyond the approved six months.
  Inventory as of this Action Requested Previously Approved
09/30/2011 6 Months From Approved
36 0 0
6 0 0
0 0 0

The CDC's National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) requests an emergency clearance to collect information to evaluate passengers from Japan due to the March 11, 2011 earthquake and tsunami.
Emergency clearance is requested due to the earthquake and tsunami on March 11, 2011 in Japan which was an unanticipated event with potentially harmful health consequences.

US Code: 42 USC 243 Name of Law: Public Health Safety Act
   US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

No

1
IC Title Form No. Form Name
Traveler Contact Information Form none Traveler Contact Information Form

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 36 0 0 36 0 0
Annual Time Burden (Hours) 6 0 0 6 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new emergency clearance request.

$140
No
No
No
No
No
Uncollected
Daniel Holcomb 770 488-4472 dwh6@cdc.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/30/2011


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