Initial Ebola Screening Script

Change Request for

2022 Ebola Airport Entry Questionnaires

(OMB Control No. 0920-1375)

Expiration Date: 04/30/2023

Contact:

Chip Daymude

National Center for Emerging and Zoonotic Infectious Diseases

Centers for Disease Control and Prevention

1600 Clifton Road, NE

Atlanta, Georgia 30333

Phone: 404.718.7103

Email: qkh7@cdc.gov

Submission Date: October 14, 2022

Circumstances of Change Request for OMB 0920-1375

The Centers for Disease Control and Prevention (CDC), Division of Global Migration and Quarantine (DGMQ) requests a nonmaterial/non-substantive of the currently approved emergency Information Collection Request: 2022 Ebola Airport Entry Questionnaires (OMB Control 0920-1375).

Change Request

CDC is requesting non-substantive changes to the Ebola Initial Screening Questions. The purpose of this change is to update the Ebola Initial Screening Questions to include an additional question to document if an individual was present in an area with a confirmed Ebola case.

CDC does not consider this change substantive as it is just adding one question and CDC does not anticipate this will add to the estimated time for each initial Ebola screening. Additionally, confirming that a traveler has been in one of the outbreak areas is also not a trigger for a CDC public health risk assessment currently. The data collected from this additional question will be shared with state and local health department partners to aid the partners in prioritizing public health risk assessment and post-arrival management of travelers in accordance with CDC’s Interim Guidance on Risk Assessment and Management of Persons with Potential Ebola Virus Exposure.

Increase in Annualized Total Burden Hours:

The previous burden calculated for this data collection consisted of 6,259 hours (rounded to nearest hour). CDC does not anticipate this update will change the estimated annual burden.

Attachments

Attachment A - CDC_Initial_Screening_Tool_10.14.22-NonSubChange

Respondent	Information Collection Tool	Number of Respondents	Number of Responses per Respondent	Average Burden per Response (in minutes)	Total Burden Hours
Traveler	Initial Screening Questions (No Form)	53,655	1	5/60	‬4,471‬‬‬‬‬‬‬‬‬‬‬
Traveler	Public Health Assessment For Travelers From Ebola Outbreak-Affected Countries	5,365	1	20/60	1,788
Total					6,259

3