80 FR 9725 - Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 80, Issue 36 (February 24, 2015)

[Federal Register Volume 80, Number 36 (Tuesday, February 24, 2015)]
[Notices]
[Pages 9725-9727]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-03616]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-15-0900]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) has submitted 
the following information collection request to the Office of 
Management and Budget (OMB) for review and approval in accordance with 
the Paperwork Reduction Act of 1995. The notice for the proposed 
information collection is published to obtain comments from the public 
and affected agencies.
    Written comments and suggestions from the public and affected 
agencies concerning the proposed collection of information are 
encouraged. Your comments should address any of the following: (a) 
Evaluate whether the proposed collection of information is necessary 
for the proper performance of

[[Page 9726]]

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 or send an email to [email protected]. Written comments and/or 
suggestions regarding the items contained in this notice should be 
directed to the Attention: CDC Desk Officer, Office of Management and 
Budget, Washington, DC 20503 or by fax to (202) 395-5806. Written 
comments should be received within 30 days of this notice.

Proposed Project

    Contact Investigation Outcome Reporting Forms (0920-0900)--
Revision--(expiration date: October 31, 2017)--National Center for 
Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Global 
Migration and Quarantine (DGMQ), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    The Centers for Disease Control and Prevention (CDC), Division of 
Global Migration and Quarantine (DGMQ) requests revision to a currently 
approved information collection, OMB Control No 0920-0900, Contact 
Investigation Outcome Reporting Forms. CDC is requesting the addition 
of Ebola-specific information collection tools to supplement the 
Centers for Disease Control and Prevention's (CDC) routine contact 
investigation activities so that CDC can better assess the risk to 
individuals who may have been exposed to a confirmed case of Ebola 
while traveling to or within the United States. These forms were 
approved by OMB under an emergency clearance, OMB Control No 0920-1032. 
The additional forms to be added are as follows:
     Ebola Airline passenger exposure questionnaire--This 
contact investigation form gathers information from airline passengers 
who traveled on plane(s) and sat within a 3 foot area around the 
suspected case and travel companions of the suspected case to determine 
the level of exposure and risk, as well as other passengers who may 
have had contact with the case's bodily fluids. Information gathered in 
this form is shared with the CDC to determine risk level. Risk levels 
are outlined in CDC's Movement and Monitoring Guidance.
     Ebola exposure Assessment Flight Crew--The flight exposure 
questionnaire is used to ascertain the same relevant information 
included in the passenger questionnaire for all crew who worked on 
flight(s) and came into contact with Ebola patient(s).
     Ebola exposure Assessment Cleaning Crew--This form 
collects the same information as the flight crew exposure 
questionnaire, used to determine the level of exposure a member of the 
cleaning crew who serviced a flight with an ill patient(s).
     Ebola exposure Assessment Airport or other port of entry 
staff--This questionnaire is utilized for airport staff who may have 
come into contact with a person ill with Ebola. Airport staff is 
identified through conversations with airport authority to determine 
which employees carried out tasks that would have put them in contact 
with the ill person or their body fluids.
     Passengers of other commercial conveyance Ebola exposure 
questionnaire--This questionnaire collects the same information as the 
airline passenger questionnaire but will be utilized for passengers of 
commercial conveyance that is land- or waterborne.
     Finally, the introduction and confirmation script is to be 
used by CDC staff manning open call lines available for persons who 
traveled on planes that carried suspected or confirmed patients with 
Ebola. As with the other questionnaires, this script assesses the risk 
of a plan passenger who was not in the immediate vicinity of the Ebola 
patient but still has concerns about the level of exposure and risk of 
contracting the virus.
    CDC is not proposing any changes to the routine contact 
investigation forms already approved under this information collection 
request.
    The total burden associated with this revision is 10,949 hours, 
including both standard contact investigation forms and updated forms 
to account for Ebola transmission. There are no costs to respondents 
other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of       Number of    Average burden
          Type of respondent                    Form name           respondents    responses per   per response
----------------------------------------------------------------------------------------------------------------
State/local health department staff...  General Contact                       12               1            5/60
                                         Investigation Outcome
                                         Reporting Form (Air).
Cruise Ship Physicians/Cargo Ship       General Contact                      100               1            5/60
 Managers.                               Investigation Outcome
                                         Reporting Form
                                         (Maritime--word
                                         version).
Cruise Ship Physicians/Cargo Ship       General Contact                      100               1            5/60
 Managers.                               Investigation Outcome
                                         Reporting Form
                                         (Maritime--Excel
                                         version).
State/local health department staff...  General Contact                       12               1            5/60
                                         Investigation Outcome
                                         Reporting Form (Land).
State/local health department staff...  TB Contact Investigation           1,244               1            5/60
                                         Outcome Reporting Form
                                         (Air).
Cruise Ship Physicians/Cargo Ship       TB Contact Investigation             150               1            5/60
 Managers.                               Outcome Reporting Form
                                         (Maritime--word
                                         version).
Cruise Ship Physicians/Cargo Ship       TB Contact Investigation             150               1            5/60
 Managers.                               Outcome Reporting Form
                                         (Maritime--Excel
                                         version).
State/local health department staff...  Measles Contact                      964               1            5/60
                                         Investigation Outcome
                                         Reporting Form (Air).
Cruise Ship Physicians/Cargo Ship       Measles Contact                       63               1            5/60
 Managers.                               Investigation Outcome
                                         Reporting Form
                                         (Maritime--word
                                         version).

[[Page 9727]]

 
Cruise Ship Physicians/Cargo Ship       Measles Contact                       63               1            5/60
 Managers.                               Investigation Outcome
                                         Reporting Form
                                         (Maritime--excel
                                         version).
State/local health department staff...  Rubella Contact                       95               1            5/60
                                         Investigation Outcome
                                         Reporting Form (Air).
Cruise Ship Physicians/Cargo Ship       Rubella Contact                       12               1            5/60
 Managers.                               Investigation Outcome
                                         Reporting Form
                                         (Maritime -word
                                         version).
Cruise Ship Physicians/Cargo Ship       Rubella Contact                       12               1            5/60
 Managers.                               Investigation Outcome
                                         Reporting Form
                                         (Maritime--excel
                                         version).
Passenger.............................  Ebola Airline Exposure             3,400               2           20/60
                                         Assessment Passenger.
Flight Crew...........................  Ebola Airline Exposure             2,400               2           20/60
                                         Assessment Flight Crew.
Cleaning Crew.........................  Ebola Airline Exposure             1,200               2           20/60
                                         Assessment Cleaning
                                         Crew.
Airport or Other Port of Entry Staff..  Ebola Airline Exposure             1,000               2           20/60
                                         Assessment Airport or
                                         Other Port of Entry
                                         Staff.
Passengers on other commercial          Ebola Exposure                     1,800               2           20/60
 conveyances.                            Questionnaire for
                                         Passengers on other
                                         commercial conveyances.
Traveler..............................  Script--Introduction and          50,000               1            5/60
                                         Confirmation.
----------------------------------------------------------------------------------------------------------------


Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2015-03616 Filed 2-23-15; 8:45 am]
BILLING CODE 4163-18-P