REQUIREMENT FOR AIRLINES TO COLLECT INFORMATION FOR PASSENGERS DESTINED FOR THE UNITED STATES DEPARTING FROM, OR PRESENT IN, THE DEMOCRATIC REPUBLIC OF THE CONGO OR THE REPUBLIC OF GUINEA.

Forms and Documents

Document Name	Status
Traveler Contact Information - Airport Check-In or Gate Agent Form	New
Traveler Contact Information - International Passengers (3rd party disclosure) Form	New
Ebola Emergency Request Memo - signed 04MAR2021.pdf Supplementary Document	2021-03-04
Attachment 3 QARS PIA.pdf Supplementary Document	2021-03-04
Attachment 2 1651-0088 Supporting Statement 04MAR2021.docx Supplementary Document	2021-03-04
Attachment 1E CDC Order.pdf Supplementary Document	2021-03-04
Attachment 1C 42 CFR part 71.docx Supplementary Document	2021-03-04
Attachment 1B 42 CFR 70.docx Supplementary Document	2021-03-04
Attachment 1A 42 USC 264.pdf Supplementary Document	2021-03-04
SSA Final 04MAR2021.docx Supporting Statement A	2021-03-04

IC Document Collections

IC ID	Document Title	Status
246109	Traveler Contact Information - Airport Check-In or Gate Agent Form	New
246108	Traveler Contact Information - International Passengers (3rd party disclosure) Form	New

ICR Details

OMB Control No:	ICR Reference No: 202103-0920-003
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: REQUIREMENT FOR AIRLINES TO COLLECT INFORMATION FOR PASSENGERS DESTINED FOR THE UNITED STATES DEPARTING FROM, OR PRESENT IN, THE DEMOCRATIC REPUBLIC OF THE CONGO OR THE REPUBLIC OF GUINEA.
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 03/05/2021
Date Submitted to OIRA: 03/05/2021

	Requested	Previously Approved
Expiration Date	6 Months From Approved
Responses	21,600	0
Time Burden (Hours)	270	0
Cost Burden (Dollars)	0	0

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Abstract: This information collection will ensure that CDC can collect contact information from travelers traveling by air to the United States who were in the Democratic Republic of the Congo (DRC) or Republic of Guinea (Guinea) within 21 days prior to their arrival or attempted arrival in the United States.

Emergency Justfication: essential to the CDC’s ability to effectively address the current EVD outbreaks in the Democratic Republic of Congo (DRC) and the Republic of Guinea and be prepared to prevent the spread of Ebola to the United States. The scale of the outbreaks in DRC and Guinea is currently limited, but there is potential for expansion, in part because of the lack of public health infrastructure, logistical support and emergency response expertise to control these outbreaks. The best strategy to control the spread of the virus to the United States is to stop it at the source with core public health intervention, supplemented by robust state and local health department oversight of the travelers entering their jurisdictions. If an emergency approval is not granted, then the domestic public health response to an imported case will be hampered and spread within the United States is more likely. The collection of this information will begin on March 4, 2020, with assistance from the Department of Homeland Security.

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Authorizing Statute(s): US Code: 42 USC 264 Name of Law: U.S. Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Traveler Contact Information - International Passengers (3rd party disclosure)	NA	Traveler Contact Information Form
Traveler Contact Information - Airport Check-In or Gate Agent	NA	Traveler Contact Information Form

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ICR Summary of Burden

	Total Request	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	21,600	0	0	21,600	0	0
Annual Time Burden (Hours)	270	0	0	270	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Information collection is a NEW Emergency ICR submitted to request information from international travelers

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Annual Cost to Federal Government: $235,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/05/2021

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