75936 Federal Register / Vol. 77, No. 247 / Wednesday, December 26, 2012 / Proposed Rules 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

42 CFR Part 70 

[Docket No. CDC–2012–0016] 

RIN 0920–AA22 

Control of Communicable Diseases: 

Interstate; Scope and Definitions 

AGENCY: Centers for Disease Control and 

Prevention (HHS/CDC), Department of 

Health and Human Services (HHS). 

ACTION: Notice of Proposed Rulemaking 

and request for comments. 

SUMMARY: In this Notice of Proposed 

Rulemaking (NPRM), the Centers for 

Disease Control and Prevention (CDC), 

located within the Department of Health 

and Human Services (HHS) is proposing 

to update the definitions for interstate 

quarantine regulations to reflect modern 

terminology and plain language used by 

private industry and public health 

partners. These updates will not affect 

current practices. As part of the update, 

we are updating two existing definitions 

and adding eight new definitions to 

clarify existing provisions, as well as 

updating regulations to reflect the most 

recent Executive Order addressing 

quarantinable communicable diseases. 

DATES: Submit written or electronic 

comments by January 25, 2013. 

ADDRESSES: You may submit comments, 

identified by ‘‘RIN 0920–AA22’’: By any 

of the following methods: 

• Internet: Access the Federal erulemaking portal at http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Division of Global Migration 

and Quarantine, Centers for Disease 

Control and Prevention, 1600 Clifton 

Road NE., MS–03, Atlanta, Georgia 

30333, ATTN: Part 70 NPRM. 

Instructions: All submissions received 

must include the agency name and 

docket number or Regulation Identifier 

Number (RIN) for this rulemaking. All 

relevant comments will be posted 

without change to http:// 

regulations.gov, including any personal 

information provided. For detailed 

instructions on submitting comments 

and additional information on the 

rulemaking process, see the ‘‘Public 

Participation’’ heading of the 

SUPPLEMENTARY INFORMATION section of 

this document. 

Docket: For access to the docket to 

read background documents or 

comments received, please go to 

http://www.regulations.gov. Comments 

will be available for public inspection 

Monday through Friday, except for legal 

holidays, from 9 a.m. until 5 p.m., 

Eastern Time, at 1600 Clifton Road NE., 

Atlanta, Georgia 30333. Please call 

ahead to 1–866–694–4867 and ask for a 

representative in the Division of Global 

Migration and Quarantine (DGMQ) to 

schedule your visit. To download an 

electronic version of the rule, access 

http://www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: For 

questions concerning this notice of 

proposed rulemaking: Ashley A. 

Marrone, JD, Centers for Disease Control 

and Prevention, 1600 Clifton Road NE., 

Mailstop E–03, Atlanta, Georgia 30333; 

telephone 404–498–1600. 

SUPPLEMENTARY INFORMATION: HHS/CDC 

is simultaneously publishing a 

companion direct final rule (DFR) in the 

Federal Register that proposes identical 

updates because we believe that these 

requirements are non-controversial and 

unlikely to generate significant adverse 

comment. If HHS/CDC does not receive 

any significant adverse comments on 

the DFR within the specified comment 

period, we will publish a document in 

the Federal Register withdrawing this 

NPRM and confirming the effective date 

of the DFR within 30 days after the 

comment period on the DFR ends. If 

HHS/CDC receives any timely 

significant adverse comment, we will 

withdraw the DFR in part or in whole 

by publication of a document in the 

Federal Register within 30 days after 

the comment period. HHS/CDC will 

carefully consider all public comments 

received before proceeding with any 

subsequent final rule based on the 

NPRM. A significant adverse comment 

is one that explains: (1) Why the DFR is 

inappropriate, including challenges to 

the rule’s underlying premise or 

approach; or (2) why the DFR will be 

ineffective or unacceptable without a 

change. 

This preamble is organized as follows: 

I. Public Participation 

II. Authority for These Regulations 

III. Proposed Updates to Section 70.1 

A. Definitions Updated Under Section 70.1 

B. Definitions Added to Section 70.1 

IV. Proposed Update to Section 70.6 

V. Alternative Considered 

VI. Required Regulatory Analyses 

A. Required Regulatory Analyses Under 

Executive Orders 12866 and 13563 

B. Regulatory Flexibility Act 

C. Small Business Regulatory Enforcement 

Fairness Act of 1996 

D. The Paperwork Reduction Act of 1995 

E. National Environmental Policy Act 

(NEPA) 

F. Civil Justice Reform (Executive Order 

12988) 

G. Executive Order 13132 (Federalism) 

H. Plain Language Act of 2010 

I. Public Participation 

Interested persons are invited to 

participate in this rulemaking by 

submitting written views, opinions, 

recommendations, and data. Comments 

received, including attachments and 

other supporting materials, are part of 

the public record and subject to public 

disclosure. Do not include any 

information in your comment or 

supporting materials that you do not 

wish to be disclosed publicly. 

Comments are invited on any topic 

related to this NPRM. 

II. Authority for These Regulations 

The primary authority supporting this 

rulemaking is section 361 of the Public 

Health Service Act (42 U.S.C. 264). 

Section 361 authorizes the Secretary of 

HHS to make and enforce regulations as 

in the Secretary’s judgment are 

necessary to prevent the introduction, 

transmission, or spread of 

communicable diseases from foreign 

countries into the states or possessions 

of the United States and from one state 

or possession into any other state or 

possession. Regulations that implement 

federal quarantine authority are 

currently promulgated in 42 CFR Parts 

70 and 71. Part 71 contains regulations 

to prevent the introduction, 

transmission, and spread of 

communicable diseases into the states 

and possessions of the United States, 

while Part 70 contains regulations to 

prevent the introduction, transmission, 

or spread of communicable diseases 

from one state into another. The 

Secretary has delegated to the Director 

of the Centers for Disease Control and 

Prevention the authority for 

implementing these regulations. 

Authority for carrying out most of 

these functions has been delegated to 

HHS/CDC’s Division of Global 

Migration and Quarantine (DGMQ). The 

Secretary’s authority to apprehend, 

examine, detain, and conditionally 

release individuals is limited to those 

quarantinable communicable diseases 

published in an Executive Order of the 

President. This list currently includes 

cholera, diphtheria, infectious 

tuberculosis (TB), plague, smallpox, 

yellow fever, and viral hemorrhagic 

fevers, such as Marburg, Ebola, and 

Crimean-Congo hemorrhagic fever 

(CCHF), Severe Acute Respiratory 

Syndrome (SARS), and influenza caused 

by novel or re-emergent influenza 

viruses that are causing or have the 

potential to cause a pandemic (see 

Executive Order 13295, as amended by 

Executive Order 13375 on April 1, 

2005). 


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Federal Register / Vol. 77, No. 247 / Wednesday, December 26, 2012 / Proposed Rules 75937 

III. Proposed Updates to Section 70.1 

Regulations that implement federal 

authority for interstate quarantine are 

currently promulgated in 42 CFR part 

70. The Secretary of HHS has delegated 

to the Director of the Centers for Disease 

Control and Prevention the authority for 

implementing 42 CFR part 70. 

Through this NPRM, HHS/CDC 

proposes to update the Definitions for 

42 CFR part 70, under section 70.1, to 

reflect modern terminology and plain 

language commonly used by private 

sector industry and public health 

partners, as well as clarify the intent of 

the provisions that follow. Specifically, 

we are proposing to update two existing 

definitions, add eight new definitions to 

clarify existing provisions, and update 

70.6 to reflect the language of the most 

recent Executive Order concerning 

quarantinable communicable diseases. 

Section 70.1 (b) contains the 

definitions used in this NPRM. The 

NPRM proposes new or updated 

definitions to be consistent with modern 

quarantine concepts and current 

medical and public health principles 

and practice. Table 1 lists the current 

definitions found in the 42 CFR part 70 

and the definitions proposed in this 

NPRM. 

TABLE 1—DEFINITIONS AND CORRESPONDING CHANGES IN DEFINITIONS IN THE FINAL RULE

Existing definitions in 

42 CFR Part 70 

Corresponding, new or 

updated definition in 

NPRM 

CDC. 

Communicable 

diseases.

No Change. 

Communicable 

period.

No Change. 

Conditional release. 

Conveyance ....... No Change. 

Director. 

Incubation period No Change. 

Interstate traffic .. No Change. 

Isolation. 

Master or Operator. 

Possession ......... Updated. 

Quarantine. 

Quarantinable communicable disease. 

State ................... Updated. 

U.S. Territory. 

Vessel ................ No Change. 

A. Definitions Updated Under Section 

70.1 

Possession. To best add clarity to Part 

70, we propose to update the term 

‘‘possession’’ to mean ‘‘U.S. Territory’’ 

and propose to define U.S. Territory to 

include American Samoa, Guam, the 

Commonwealth of the Northern Mariana 

Islands, the Commonwealth of Puerto 

Rico, and the U.S. Virgin Islands. 

Currently, only Puerto Rico and the 

Virgin Islands are explicitly listed in the 

definition. Thus, CDC is updating this 

provision to explicitly list the other U.S. 

jurisdictions to which this part applies. 

State. To best add clarity to the 

regulations of Part 70, specifically 

where roles and responsibilities are 

outlined, we propose to include a 

definition of ‘‘state’’ to mean any of the 

50 states within the United States, plus 

the District of Columbia. 

B. Definitions Added to Part 70.1 

CDC. We proposed to define ‘‘CDC’’ to 

mean the Centers for Disease Control 

and Prevention within the Department 

of Health and Human Services to clarify 

the provisions under Part 70. 

Conditional release. We propose to 

define ‘‘conditional release’’ to have the 

same meaning as ‘‘surveillance,’’ as that 

term is defined in the NPRM for updates 

to 42 CFR § 71.1. We have included this 

definition to best add clarity to the 

provisions and practices under Part 70, 

specifically section 70.6 as well as 

ensure that conditional release and 

surveillance are both used consistently 

in both Parts 70 and 71. 

Director. To clarify the provisions 

under Part 70, we propose to define 

‘‘Director’’ to mean the Director, Centers 

for Disease Control and Prevention, 

Department of Health and Human 

Services, or another authorized 

representative as approved by the CDC 

Director or the Secretary of HHS. 

Isolation. We are proposing to 

separately define ‘‘isolation’’ as the 

separation of an individual or group 

reasonably believed to be infected with 

a quarantinable communicable disease 

from those who are healthy to prevent 

the spread of the quarantinable 

communicable disease. This NPRM 

clarifies the distinction between 

quarantine and isolation by separately 

defining ‘‘quarantine’’ and ‘‘isolation’’ 

to distinguish these common public 

health measures. Isolation as currently 

used in 42 CFR 71.1 applies to both 

persons and groups of persons. Thus, 

CDC is changing the definition in Part 

70 so that the term is used consistently 

in both Part 70 and 71. Applying 

isolation measures to groups of 

individuals is consistent with CDC’s 

current practice and does not constitute 

a substantive change. 

‘‘Master’’ or ‘‘Operator’’. We are 

proposing to define ‘‘Master’’ or 

‘‘Operator’’ as the aircrew or sea crew 

member with responsibility respectively 

for aircraft or vessel operation and 

navigation or a similar individual with 

responsibility for a conveyance. We 

have included this definition to better 

identify and assign responsibilities 

under this subpart (according to current 

practices). 

Quarantine. We are proposing to 

define ‘‘quarantine’’ as the separation of 

an individual or group reasonably 

believed to have been exposed to a 

quarantinable communicable disease, 

but who is not yet ill, from others who 

have not been so exposed, to prevent the 

possible spread of the quarantinable 

communicable disease. In this NPRM, 

HHS/CDC is separately defining 

quarantine and isolation to distinguish 

these common public health measures. 

Applying quarantine measures to groups 

of individuals is consistent with HHS/ 

CDC’s current practice and does not 

constitute a substantive change. 

Quarantinable communicable 

disease. Under the proposed definition, 

‘‘quarantinable communicable disease’’ 

means any of the communicable 

diseases listed in an Executive Order, as 

provided under section 361 of the 

Public Health Service Act (42 U.S.C. 

264). Executive Order 13295, of April 4, 

2003, as amended by Executive Order 

13375 of April 1, 2005, contains the 

current revised list of quarantinable 

communicable diseases, and may be 

found at http://www.cdc.gov/quarantine 

and in the docket as supplemental 

documents. If this Executive Order is 

amended, HHS/CDC will enforce the 

amended order immediately and update 

its Web site. The proposed definition for 

‘‘quarantinable communicable disease’’ 

is being added to Part 70 through this 

NPRM to reflect the most recent 

Executive Order regarding quarantinable 

communicable diseases. This addition 

does not reflect a substantive change 

from current practice. 

U.S. Territory. We are proposing to 

define ‘‘U.S. Territory’’ to mean any 

territory (also known as possessions) of 

the United States including American 

Samoa, Guam, the Commonwealth of 

the Northern Mariana Islands, the 

Commonwealth of Puerto Rico, and the 

U.S. Virgin Islands. The Department of 

the Interior’s Office of Insular Affairs, 

the federal government’s cognizant 

agency for U.S. territories, no longer 

uses the term ‘‘possession’’ to refer to 

these jurisdictions. Consequently, HHS/ 

CDC is adding a new definition for U.S. 

territory consistent with current federal 

usage. 

IV. Proposed Update to Section 70.6 

Section 70.6, Apprehension and 

detention of persons with specific 

diseases, contains the general authority 

for the Director to take measures with 

respect to persons to protect the public’s 

health against the spread of 

communicable diseases ‘‘listed in an 


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75938 Federal Register / Vol. 77, No. 247 / Wednesday, December 26, 2012 / Proposed Rules 

Executive Order setting out a list of 

quarantinable communicable diseases, 

as provided under section 361(b) of the 

Public Health Service Act.’’ The current 

section 71.32(a) lists Executive Order 

13295, of April 4, 2003. The subpart 

states that ‘‘If this Order is amended, 

HHS will enforce that amended order.’’ 

On April 1, 2005, this Executive Order 

was amended by Executive Order 

13375. Therefore, as part of the noncontroversial changes in this NPRM, we 

are also proposing to update section 

70.6 to reflect the most recent 

amendment to the Executive Order 

which lists the ‘‘quarantinable 

communicable disease,’’ which we have 

also defined. These proposed changes 

are not substantive and will not affect 

current practices. 

V. Alternatives Considered 

Under Executive Order 13563 

agencies are asked to consider all 

feasible alternatives to current practice 

and the rule as proposed. HHS/CDC 

notes that the main impact of this 

proposed rule is to update current 

definitions and clarify language in the 

current regulation to reflect modern 

terminology and plain language 

commonly used by global private sector 

industry and public health partners. The 

intent of these updates is to clarify the 

provisions of the existing regulation to 

help the regulated community comply 

with current regulation and protect 

public health. HHS/CDC believes that 

this rulemaking complies with the spirit 

of the Executive Order; updating current 

definitions, clarifying language, and 

updating the referenced Executive Order 

provides good alternatives to the current 

regulation. 

VI. Required Regulatory Analyses 

A. Required Regulatory Analyses Under 

Executive Orders 12866 and 13563 

Under Executive Order 12866 (EO 

12866), Regulatory Planning and Review 

(58 FR 51735, October 4, 1993) HHS/ 

CDC is required to determine whether 

this regulatory action would be 

‘‘significant’’ and therefore subject to 

review by the Office of Management and 

Budget (OMB) and the requirements of 

the Executive Orders. This order defines 

‘‘significant regulatory action’’ as any 

regulatory action that is likely to result 

in a rule that may: 

• Have an annual effect on the 

economy of $100 million or more or 

adversely affect in a material way the 

economy, a sector of the economy, 

productivity, competition, jobs, the 

environment, public health or safety, or 

state, local, or tribal governments or 

communities; 

• Create a serious inconsistency or 

otherwise interfere with an action taken 

or planned by another agency; 

• Materially alter the budgetary 

impact of entitlements, grants, user fees, 

or loan programs or the rights and 

obligations of recipients; or, 

• Raise novel legal or policy issues 

arising out of legal mandates, the 

President’s priorities, or the principles 

set forth in EO 12866. 

Executive Order 13563 (EO 13563), 

Improving Regulation and Regulatory 

Review, (76 FR 3821, January 21, 2011), 

updates some of the provisions of EO 

12866 in order to promote more 

streamlined regulatory actions. This EO 

charges, in part, that, while protecting 

‘‘public health, welfare, safety, and our 

environment’’ that regulations must also 

‘‘promote predictability and reduce 

uncertainty’’ in order to promote 

economic growth. Further, regulations 

must be written in common language 

and be easy to understand. In the spirit 

of EO 13563, we propose to enhance 

definitions related to the control of 

communicable diseases and add more 

current medical terminology where 

appropriate. 

HHS/CDC has determined that this 

NPRM is simply an update and 

clarification of definitions and terms 

used in the current regulation. As such, 

the NPRPM complies with the spirit of 

EO 13563. Further, HHS/CDC has 

determined that this NPRM is not a 

significant regulatory action as defined 

in EO 12866 because the NPRM is 

definitional and does not change the 

baseline costs for any of the primary 

stakeholders. 

B. Regulatory Flexibility Act 

We have examined the impacts of the 

rule under the Regulatory Flexibility 

Act (5 U.S.C. 601–612). Unless we 

certify that the rule is not expected to 

have a significant economic impact on 

a substantial number of small entities, 

the Regulatory Flexibility Act (RFA), as 

amended by the Small Business 

Regulatory Enforcement Fairness Act 

(SBREFA), requires agencies to analyze 

regulatory options that would minimize 

any significant economic impact of a 

rule on small entities. We certify that 

this proposed rule will not have a 

significant economic impact on a 

substantial number of small entities 

within the meaning of the RFA. 

C. Small Business Regulatory 

Enforcement Fairness Act of 1996 

This proposed rule is not a major rule 

as defined by Sec. 804 of the Small 

Business Regulatory Enforcement 

Fairness Act of 1996. This rule will not 

result in an annual effect on the 

economy of $100,000,000 or more; a 

major increase in cost or prices; or 

significant adverse effects on 

competition, employment, investment, 

productivity, innovation, or on the 

ability of United States-based 

companies to compete with foreignbased companies in domestic and 

export markets. 

D. The Paperwork Reduction Act of 

1995 

HHS/CDC has already determined 

that the Paperwork Reduction Act 

applies to the data collection and record 

keeping requirements of 42 CFR Part 70 

and has obtained approval by the Office 

of Management and Budget (OMB) to 

collect data and require record keeping 

under OMB Control No. 0920–0488, 

expiration 03/31/2013. The changes 

proposed in this rule do not impact the 

data collection or record keeping 

requirements and do not require 

revision to the approval from OMB. 

E. National Environmental Policy Act 

(NEPA) 

Pursuant to 48 FR 9374 (list of HHS/ 

CDC program actions that are 

categorically excluded from the NEPA 

environmental review process), HHS/ 

CDC has determined that this action 

does not qualify for a categorical 

exclusion. In the absence of an 

applicable categorical exclusion, the 

Director, CDC, has determined that 

provisions proposing to amending 42 

CFR Part 70 will not have a significant 

impact on the human environment. 

Therefore, neither an environmental 

assessment nor an environmental 

impact statement is required. 

F. Civil Justice Reform (Executive Order 

12988) 

This proposed rule has been reviewed 

under Executive Order 12988, Civil 

Justice Reform. Under this rule: (1) All 

state and local laws and regulations that 

are inconsistent with this rule will be 

preempted; (2) no retroactive effect will 

be given to this rule; and (3) 

administrative proceedings will not be 

required before parties may file suit in 

court challenging this rule. 

G. Executive Order 13132 (Federalism) 

HHS/CDC has reviewed this proposed 

rule in accordance with Executive Order 

13132 regarding Federalism, and has 

determined that it does not have 

‘‘federalism implications.’’ The 

proposed rule does not ‘‘have 

substantial direct effects on the States, 

on the relationship between the national 

government and the States, or on the 

distribution of power and 


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Federal Register / Vol. 77, No. 247 / Wednesday, December 26, 2012 / Proposed Rules 75939 

responsibilities among the various 

levels of government.’’ 

H. Plain Language Act of 2010 

Under Public Law 111–274 (October 

13, 2010), executive Departments and 

Agencies are required to use plain 

language in documents that explain to 

the public how to comply with a 

requirement the Federal Government 

administers or enforces. HHS/CDC has 

attempted to use plain language in 

promulgating this rule consistent with 

the Federal Plain Writing Act and 

requests public comment on this effort. 

List of Subjects in 42 CFR Part 70 

Communicable diseases, CDC, 

Isolation, Public health, Quarantine, 

Quarantinable Communicable Disease. 

Proposed Text 

For the reasons discussed in the 

preamble, the Centers for Disease 

Control and Prevention proposes to 

amend 42 CFR part 70 as follows: 

PART 70—INTERSTATE QUARANTINE 

1. The authority citation for part 70 

continues to read as follows: 

Authority: Secs. 215 and 311 of the Public 

Health Service (PHS) Act, as amended (42 

U.S.C. 216, 243); section 361–369, PHS Act, 

as amended (42 U.S.C. 264–272); 31 U.S.C. 

9701. 

2. Amend § 70.1 as follows: 

a. Remove paragraph designations (a), 

(b), (c), (d), (e), (f), and (g). 

b. Add in alphabetical order 

definitions of CDC, Conditional release, 

Director, Isolation, Master or Operator, 

Quarantine, Quarantinable 

communicable disease, and U.S. 

Territory. 

c. Revise the definitions of Possession 

and State. The revisions and additions 

read as follows: 

§ 70.1 General definitions. 

* * * * * 

CDC means the Centers for Disease 

Control and Prevention, Department of 

Health and Human Services. 

* * * * * 

Conditional release means 

‘‘surveillance’’ as that term is defined in 

42 CFR 71.1. 

* * * * * 

Director means the Director, Centers 

for Disease Control and Prevention, 

Department of Health and Human 

Services, or another authorized 

representative as approved by the CDC 

Director or the Secretary of HHS. 

* * * * * 

Isolation means the separation of an 

individual or group reasonably believed 

to be infected with a quarantinable 

communicable disease from those who 

are healthy to prevent the spread of the 

quarantinable communicable disease. 

Master or Operator means the aircrew 

or sea crew member with responsibility 

respectively for aircraft or vessel 

operation and navigation, or a similar 

individual with responsibility for a 

conveyance. 

Possession means U.S. Territory. 

Quarantine means the separation of 

an individual or group reasonably 

believed to have been exposed to a 

quarantinable communicable disease, 

but who are not yet ill, from others who 

have not been so exposed, to prevent the 

possible spread of the quarantinable 

communicable disease. 

Quarantinable communicable disease 

means any of the communicable 

diseases listed in an Executive Order, as 

provided under section 361 of the 

Public Health Service Act. Executive 

Order 13295, of April 4, 2003, as 

amended by Executive Order 13375 of 

April 1, 2005, contains the current 

revised list of quarantinable 

communicable diseases, and may be 

obtained at http://www.cdc.gov and 

http://www.archives.gov/

federal_register. If this Order is 

amended, HHS will enforce that 

amended order immediately and update 

that Web site. 

State means any of the 50 states, plus 

the District of Columbia. 

U.S. Territory means any territory 

(also known as possessions) of the 

United States, including American 

Samoa, Guam, the Northern Mariana 

Islands, the Commonwealth of Puerto 

Rico, and the U.S. Virgin Islands. 

* * * * * 

3. Revise § 70.6 to read as follows: 

§ 70.6 Apprehension and detention of 

persons with specific diseases. 

Regulations prescribed in this part 

authorize the detention, isolation, 

quarantine, or conditional release of 

individuals, for the purpose of 

preventing the introduction, 

transmission, and spread of the 

communicable diseases listed in an 

Executive Order setting out a list of 

quarantinable communicable diseases, 

as provided under section 361(b) of the 

Public Health Service Act. Executive 

Order 13295, of April 4, 2003, as 

amended by Executive Order 13375 of 

April 1, 2005, contains the current 

revised list of quarantinable 

communicable diseases, and may be 

obtained at http://www.cdc.gov/ 

quarantine and http:// 

www.archives.gov/federal_register. If 

this Order is amended, HHS will 

enforce that amended order 

immediately and update its Web site. 

Dated: December 13, 2012. 

Kathleen Sebelius, 

Secretary, Department of Health and Human 

Services. 

[FR Doc. 2012–30726 Filed 12–21–12; 4:15 pm] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

42 CFR Part 71 

[Docket No. CDC–2012–0017] 

RIN 0920–AA12 

Control of Communicable Diseases: 

Foreign; Scope and Definitions 

AGENCY: Centers for Disease Control and 

Prevention (HHS/CDC), Department of 

Health and Human Services (HHS). 

ACTION: Notice of Proposed Rulemaking 

and request for comments. 

SUMMARY: Through this Notice of 

Proposed Rulemaking (NPRM), the 

Centers for Disease Control and 

Prevention (CDC), located within the 

Department of Health and Human 

Services (HHS) is proposing to update 

and reorganize the Scope and 

Definitions for foreign quarantine 

regulations and add a new section to 

contain definitions for Importations. 

This NPRM proposes to update the 

Scope and Definitions to reflect modern 

terminology and plain language used 

globally by industry and public health 

partners. As part of the proposed 

updates, we are updating five existing 

definitions; adding thirteen new 

definitions to help clarify existing 

provisions; creating a new scope and 

definitions section for Importations 

under a new section by reorganizing 

existing definitions into this new 

section; and updating regulations to 

reflect the language used by the most 

recent Executive Order regarding 

quarantinable communicable diseases. 

DATES: Submit written or electronic 

comments by January 25, 2013. 

ADDRESSES: You may submit comments, 

identified by ‘‘RIN 0920–AA12’’: by any 

of the following methods: 

• Internet: Access the Federal 

e-Rulemaking Portal at http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Division of Global Migration 

and Quarantine, Centers for Disease 

Control and Prevention, 1600 Clifton 

Road NE., MS–03, Atlanta, Georgia 

30333, ATTN: Part 71 NPRM. 

Instructions: All submissions received 

must include the agency name and 

docket number or Regulation Identifier 

Number (RIN) for this rulemaking. All 


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