43872 Federal Register / Vol. 83, No. 167 / Tuesday, August 28, 2018 / Notices 

would protect information ‘‘the 

disclosure of which would constitute a 

clearly unwarranted invasion of 

personal privacy’’ (5 U.S.C. 552(b)(6)). 

To the extent the information collected 

relates to examination, operating, or 

condition reports prepared for the use of 

an agency supervising financial 

institutions, such information may be 

kept confidential under exemption 8 to 

FOIA (5 U.S.C. 552(b)(8)). 

Board of Governors of the Federal Reserve 

System, August 23, 2018. 

Ann Misback, 

Secretary of the Board. 

[FR Doc. 2018–18550 Filed 8–27–18; 8:45 am] 

BILLING CODE 6210–01–P 

FEDERAL RESERVE SYSTEM 

Privacy Act of 1974; System of 

Records 

AGENCY: Board of Governors of the 

Federal Reserve System. 

ACTION: Notice of General Amendment 

to Federal Reserve Board of Governors 

Systems of Records. 

SUMMARY: Pursuant to the provisions of 

the Privacy Act of 1974, notice is given 

that the Board of Governors of the 

Federal Reserve System (Board) is 

amending its General Routine Uses of 

Board Systems of Records (General 

Routine Uses) that apply to the Board’s 

systems of records, by revising an 

existing routine use and adding a new 

routine use, both related to breach 

response. The changes are necessary in 

order to comply with Office of 

Management and Budget (OMB) 

Memorandum M–17–12, ‘‘Preparing for 

and Responding to a Breach of 

Personally Identifiable Information’’ 

(January 3, 2017), which sets forth the 

two required routine uses. Accordingly, 

the Board is revising Routine Use I, as 

prescribed by OMB, which allows the 

Board to disclose records as necessary to 

respond to a suspected or confirmed 

breach of the system of records where 

the Board has determined the breach 

poses a risk of harm to individuals, the 

Board, the Federal Government, or 

national security, and the disclosure is 

reasonably necessary to assist the Board 

in its efforts to respond to the breach or 

to prevent, minimize or remedy such 

harm. The Board is also adding Routine 

Use J as prescribed by OMB to allow the 

Board to assist another federal agency or 

federal entity in that agency’s or entity’s 

response to a suspected or confirmed 

breach or efforts to prevent, minimize, 

or remedy the risk of harm to 

individuals, the agency or entity, the 

Federal Government, or national 

security, resulting from a suspected or 

confirmed breach. 

These breach-response related uses 

are relevant and apply to all of the 

Board’s systems of records. Accordingly, 

the Board is revising its list of General 

Routine Uses and is amending all of the 

Board’s systems of records to include 

the revised Routine Use I and the new 

Routine Use J. These uses will ensure 

that the Board is able to respond as 

necessary in the event of a breach of 

personally identifiable information 

involving a Board system of records and 

assist other federal agencies or federal 

entities in their response. Breaches pose 

a risk of harm to individuals, and thus 

the revised and new routine uses will 

further enhance the Board’s ability to 

protect the privacy of individuals by 

allowing the Board to respond to the 

suspected or confirmed breach and 

prevent, minimize, or remedy the 

resulting harm posed by the breach. In 

order that the Board’s General Routine 

Uses will be contained in a single notice 

readily accessible by the public, the 

Board is republishing the General 

Routine Uses previously published on 

May 6, 2008 (73 FR 24985) which were 

not revised under this notice. 

DATES: Comments must be received on 

or before September 27, 2018. The 

revised systems of records notices and 

General Routine Uses will become 

effective September 27, 2018, without 

further notice, unless comments dictate 

otherwise. The Office of Management 

and Budget (OMB), which has oversight 

responsibility under the Privacy Act, 

requires a 30-day period prior to 

publication in the Federal Register in 

which to review the system and to 

provide any comments to the agency. 

The public is then given a 30-day period 

in which to comment, in accordance 

with 5 U.S.C. 552a(e)(4) and (11). The 

routine uses below were submitted to 

OMB on July 16, 2018. 

ADDRESSES: You may submit comments, 

identified by Board General Routine 

Uses and SORN Amendment, by any of 

the following methods: 

• Agency website: http://

www.federalreserve.gov. Follow the 

instructions for submitting comments at 

http://www.federalreserve.gov/ 

generalinfo/foia/ProposedRegs.cfm. 

• Email: regs.comments@

federalreserve.gov. Include ‘‘Board 

General Routine Uses and SORN 

Amendment’’ in the subject line of the 

message. 

• Fax: (202) 452–3819 or (202) 452– 

3102. 

• Mail: Ann E. Misback, Secretary, 

Board of Governors of the Federal 

Reserve System, 20th Street and 

Constitution Avenue NW, Washington, 

DC 20551. 

All public comments will be made 

available on the Board’s website at 

www.federalreserve.gov/generalinfo/ 

foia/ProposedRegs.cfm as submitted, 

unless modified for technical reasons or 

to remove personally identifiable 

information at the commenter’s request. 

Public comments may also be viewed 

electronically or in paper form in Room 

3515, 1801 K Street (between 18th and 

19th Streets NW) Washington, DC 20006 

between 9:00 a.m. and 5:00 p.m. on 

weekdays. For security reasons, the 

Board requires that visitors make an 

appointment to inspect comments. You 

may do so by calling (202) 452–3684. 

Upon arrival, visitors will be required to 

present valid government-issued photo 

identification and to submit to security 

screening in order to inspect and 

photocopy comments. 

FOR FURTHER INFORMATION CONTACT: 

David B. Husband, Senior Attorney, 

Legal Division, (202) 530–6270, or 

david.b.husband@frb.gov; Alye S. 

Foster, Assistant General Counsel, Legal 

Division, or (202) 452–5289, or 

alye.s.foster@frb.gov. Board of 

Governors of the Federal Reserve 

System, 20th Street and Constitution 

Avenue NW, Washington, DC 20551, 

Telecommunications Device for the Deaf 

(TDD) users may contact (202) 263– 

4869. 

SUPPLEMENTARY INFORMATION: In 

accordance with the Privacy Act of 

1974, 5 U.S.C. 552a(r), a report of these 

systems of records is being filed with 

the Chair of the House Committee on 

Oversight and Government Reform, the 

Chair of the Senate Committee on 

Homeland Security and Governmental 

Affairs, and the Administrator of the 

Office of Information and Regulatory 

Affairs of the Office of Management and 

Budget. 

SYSTEM NAME AND NUMBER: 

BGFRS–1 Recruiting and Placement 

Records 

BGFRS–2 Personnel Security 

Systems 

BGFRS–3 Medical Records 

BGFRS–4 General Personnel 

Records 

BGFRS–5 EEO Discrimination 

Complaint File 

BGFRS–6 Disciplinary and Adverse 

Action Records 

BGFRS–7 Payroll and Leave Records 

BGFRS–8 Travel Records 

BGFRS–9 Supplier Files 

BGFRS–10 General Files on Board 

Members 

BGFRS–11 Official General Files 

BGFRS–12 Bank Officers Personnel 

System 


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Federal Register / Vol. 83, No. 167 / Tuesday, August 28, 2018 / Notices 43873 

1BGFRS–40, ‘‘FRB—Board Subscription 

Services’’ is not included in the list because the 

Board’s April 11, 2018 publication of that SORN 

included the substance of the new Routine Uses I 

and J. 83 FR 15569 (April 11, 2018). 

BGFRS–13 Federal Reserve System 

Bank Supervision Staff Qualifications 

BGFRS–14 General File of Federal 

Reserve Bank and Branch Directors 

BGFRS–16 Regulation U Reports of 

NonBank Lenders 

BGFRS–17 Municipal or 

Government Securities Principals and 

Representatives 

BGFRS–18 Consumer Complaint 

Information 

BGFRS–20 Survey of Consumer 

Finances 

BGFRS–21 Supervisory Enforcement 

Actions and Special Examinations 

Tracking System 

BGFRS–23 Freedom of Information 

Act and Privacy Act Case Tracking and 

Reporting System 

BGFRS–24 EEO General Files 

BGFRS–25 Multi-Rater Feedback 

Records 

BGFRS–26 Employee Relations 

Records 

BGFRS–27 Performance 

Management Program Records 

BGFRS–28 Employee Assistance 

Program Records 

BGFRS–29 Benefits Records 

BGFRS–30 Academic Assistance 

Program Files 

BGFRS–31 Protective Information 

Systems 

BGFRS–32 Visitor Registration 

System 

BGFRS–34 ESS Staff Identification 

Card File 

BGFRS–35 Staff Parking Permit File 

BGFRS–36 Federal Reserve 

Application Name Check System 

BGFRS–37 Electronic Applications 

BGFRS–38 Transportation Subsidy 

Records 

BGFRS–39 General File of the 

Community Advisory Council 

OIG–1 OIG Investigative Records 

OIG–2 OIG Personnel Records 

SECURITY CLASSIFICATION: 

Unclassified. 

SYSTEM LOCATION: 

The Board maintains its systems of 

records at the Board of Governors of the 

Federal Reserve System, 20th Street and 

Constitution Avenue NW, Washington, 

DC 20551. Some sub-categories of 

certain systems may also be maintained 

by various third-parties, which are 

described in the corresponding SORNs 

located here: https://

www.federalreserve.gov/system-ofrecords-notices.htm. 

SYSTEM MANAGER(S): 

The system manager for each system 

is described in the system’s 

corresponding SORN located here: 

https://www.federalreserve.gov/systemof-records-notices.htm. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

The authority for each system is 

described in the system’s corresponding 

SORN located here: https://

www.federalreserve.gov/system-ofrecords-notices.htm. 

PURPOSE(S) OF THE SYSTEM: 

The purpose for each system is 

described in the system’s corresponding 

SORN located here: https://

www.federalreserve.gov/system-ofrecords-notices.htm. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

The categories of individuals covered 

by each system are described in the 

system’s corresponding SORN located 

here: https://www.federalreserve.gov/ 

system-of-records-notices.htm. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

The categories of records covered by 

each system are described in the 

system’s corresponding SORN located 

here: https://www.federalreserve.gov/ 

system-of-records-notices.htm. 

RECORD SOURCE CATEGORIES: 

The categories of sources of records 

for each system is described in the 

system’s corresponding SORN located 

here: https://www.federalreserve.gov/ 

system-of-records-notices.htm. 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

PURPOSES OF SUCH USES: 

The Board is amending its General 

Routine Uses by revising Routine Use I 

and adding Routine Use J. The Board is 

also revising all of the SORNs listed 

above 1 to include the revised Routine 

Use I and the new Routine Use J. The 

Board is revising Routine Use I of its 

General Routine Uses to read as follows: 

‘‘I. Disclosure to Facilitate a Response 

to a Breach of the Board. Information 

may be disclosed to appropriate 

agencies, entities, and persons when: (1) 

The Board suspects or has confirmed 

that there has been a breach of the 

system of records; (2) the Board has 

determined that as a result of the 

suspected or confirmed breach there is 

a risk of harm to individuals, the Board 

(including its information systems, 

programs, and operations), the Federal 

Government, or national security; and 

(3) the disclosure made to such 

agencies, entities, and persons is 

reasonably necessary to assist in 

connection with the Board’s efforts to 

respond to the suspected or confirmed 

breach or to prevent, minimize, or 

remedy such harm.’’ 

The Board is also adding Routine Use 

J to its General Routine Uses to read as 

follows: 

‘‘J. Disclosure to Assist another 

Federal Agency or Federal Entity in 

Responding to a Breach. Information 

may be disclosed to another federal 

agency or federal entity, when the Board 

determines that the information from 

this system of records is reasonably 

necessary to assist the recipient agency 

or entity in (1) responding to a 

suspected or confirmed breach or (2) 

preventing, minimizing, or remedying 

the risk of harm to individuals, the 

recipient agency or entity (including its 

information systems, programs, and 

operations), the Federal Government, or 

national security, resulting from a 

suspected or confirmed breach.’’ 

The complete list of General Routine 

Uses now reads as follows: 

General Routine Uses of Board Systems 

of Records 

A. Disclosure for Enforcement, 

Statutory and Regulatory Purposes. 

Information may be disclosed to the 

appropriate federal, state, local, foreign, 

or self-regulatory organization or agency 

responsible for investigating, 

prosecuting, enforcing, implementing, 

issuing, or carrying out a statute, rule, 

regulation, order, policy, or license if 

the information may be relevant to a 

potential violation of civil or criminal 

law, rule, regulation, order, policy or 

license. 

B. Disclosure to Another Agency or a 

Federal Reserve Bank. Information may 

be disclosed to a federal agency in the 

executive, legislative, or judicial branch 

of government, or to a Federal Reserve 

Bank, in connection with the hiring, 

retaining, or assigning of an employee, 

the issuance of a security clearance, the 

conducting of a security or suitability 

investigation of an individual, the 

classifying of jobs, the letting of a 

contract, the issuance of a license, grant, 

or other benefits by the receiving entity, 

or the lawful statutory, administrative, 

or investigative purpose of the receiving 

entity to the extent that the information 

is relevant and necessary to the 

receiving entity’s decision on the 

matter. 

C. Disclosure to a Member of 

Congress. Information may be disclosed 

to a congressional office in response to 

an inquiry from the congressional office 

made at the request of the individual to 

whom the record pertains. 

D. Disclosure to the Department of 

Justice, a Court, an Adjudicative Body 

or Administrative Tribunal, or a Party in 

Litigation. Information may be disclosed 


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43874 Federal Register / Vol. 83, No. 167 / Tuesday, August 28, 2018 / Notices 

to the Department of Justice, a court, an 

adjudicative body or administrative 

tribunal, a party in litigation, or a 

witness if the Board (or in the case of 

an Office of Inspector General system, 

the Office of Inspector General) 

determines, in its sole discretion, that 

the information is relevant and 

necessary to the matter. 

E. Disclosure to Federal, State, Local, 

and Professional Licensing Boards. 

Information may be disclosed to federal, 

state, local, foreign, and professional 

licensing boards, including a bar 

association, a Board of Medical 

Examiners, a state board of accountancy, 

or a similar governmental or nongovernment entity that maintains 

records concerning the issuance, 

retention, or revocation of licenses, 

certifications, or registrations relevant to 

practicing an occupation, profession, or 

specialty. 

F. Disclosure to the EEOC, MSPB, 

OGE and OSC. Information may be 

disclosed to the Equal Employment 

Opportunity Commission, the Merit 

Systems Protection Board, the Office of 

Government Ethics, or the Office of 

Special Counsel to the extent 

determined to be relevant and necessary 

to carrying out their authorized 

functions. 

G. Disclosure to Contractors, Agents, 

and Others. Information may be 

disclosed to contractors, agents, or 

others performing work on a contract, 

service, cooperative agreement, job, or 

other activity for the Board and who 

have a need to access the information in 

the performance of their duties or 

activities for the Board. 

H. Disclosure to Labor Relations 

Panels. Information may be disclosed to 

the Federal Reserve Board Labor 

Relations Panel or the Federal Reserve 

Banks Labor Relations Panel in 

connection with the investigation and 

resolution of allegations of unfair labor 

practices or other matters within the 

jurisdiction of the relevant panel when 

requested. 

I. Disclosure to Facilitate a Response 

to a Breach of the Board. Information 

may be disclosed to appropriate 

agencies, entities, and persons when: (1) 

The Board suspects or has confirmed 

that there has been a breach of the 

system of records; (2) the Board has 

determined that as a result of the 

suspected or confirmed breach there is 

a risk of harm to individuals or the 

Board (including its information 

systems, programs, and operations), the 

Federal Government, or national 

security; and (3) the disclosure made to 

such agencies, entities, and persons is 

reasonably necessary to assist in 

connection with the Board’s efforts to 

respond to the suspected or confirmed 

breach or to prevent, minimize, or 

remedy such harm. 

J. Disclosure to Assist another Federal 

Agency or Federal Entity in Responding 

to a Breach. Information may be 

disclosed to another federal agency or 

federal entity, when the Board 

determines that the information from 

the system of records is reasonably 

necessary to assist the recipient agency 

or entity in (1) responding to a 

suspected or confirmed breach, or (2) 

preventing, minimizing, or remedying 

the risk of harm to individuals, the 

recipient agency or entity (including its 

information systems, programs, and 

operations), the Federal Government, or 

national security, resulting from a 

suspected or confirmed breach. 

POLICIES AND PRACTICES FOR STORAGE OF

RECORDS: 

The storage practices for each system 

are set out in the corresponding SORN 

located here: https://

www.federalreserve.gov/system-ofrecords-notices.htm. 

POLICIES AND PRACTICES FOR RETRIEVAL OF

RECORDS: 

Depending on the particular system, 

paper and electronic records may be 

retrieved by name or other identifying 

aspects. 

POLICIES AND PRACTICES FOR RETENTION AND

DISPOSAL OF RECORDS: 

The retention period for each system 

is set out in the corresponding SORN 

located here: https://

www.federalreserve.gov/system-ofrecords-notices.htm. Records will be 

disposed of at the end of their retention 

periods, subject to an annual close-out. 

ADMINISTRATIVE, TECHNICAL, AND PHYSICAL

SAFEGUARDS: 

Access to records is limited to those 

whose official duties require it. 

Electronic records are password 

protected. 

RECORD ACCESS PROCEDURES: 

The Privacy Act allows individuals 

the right to access records maintained 

about them in a Board system of 

records. Your request for access must: 

(1) Contain a statement that it is made 

pursuant to the Privacy Act of 1974; (2) 

provide either the name of the Board 

system of records expected to contain 

the record requested or a concise 

description of the system of records; (3) 

provide the information necessary to 

verify your identity; and (4) provide any 

other information that may assist in the 

rapid identification of the record for 

which you are requesting access. 

Current or former Board employees 

may make a request for access by 

contacting the Board office that 

maintains the record. The Board 

handles all Privacy Act requests as both 

a Privacy Act request and as a Freedom 

of Information Act request. The Board 

does not charge fees to a requestor 

seeking to access or amend his/her 

Privacy Act records. 

You may submit your Privacy Act 

request to the—Secretary of the Board, 

Board of Governors of the Federal 

Reserve System, 20th Street and 

Constitution Avenue NW, Washington 

DC 20551. 

If your request is for records 

maintained by the Board’s Office of 

Inspector General, submit your request 

to the—Inspector General, Board of 

Governors of the Federal Reserve 

System, 20th Street and Constitution 

Avenue NW, Washington, DC 20551. 

You may also submit your Privacy Act 

request electronically through the 

Board’s FOIA ‘‘Electronic Request 

Form’’ located here: https://

www.federalreserve.gov/secure/forms/ 

efoiaform.aspx. 

CONTESTING RECORD PROCEDURES: 

The Privacy Act allows individuals to 

seek amendment of information that is 

erroneous, irrelevant, untimely, or 

incomplete and is maintained in a 

system of records about you. To request 

an amendment to your record, you 

should clearly mark the request as a 

‘‘Privacy Act Amendment Request.’’ 

You have the burden of proof for 

demonstrating the appropriateness of 

the requested amendment and you must 

provide relevant and convincing 

evidence in support of your request. 

Your request for amendment must: (1) 

Provide the name of the specific Board 

system of records containing the record 

you seek to amend; (2) Identify the 

specific portion of the record you seek 

to amend; (3) Describe the nature of and 

reasons for each requested amendment; 

(4) Explain why you believe the record 

is not accurate, relevant, timely, or 

complete; and (5) Unless you have 

already done so in a Privacy Act request 

for access, provide the necessary 

information to verify your identity. 

NOTIFICATION PROCEDURES: 

Same as ‘‘Access procedures’’ above. 

You may also follow this procedure in 

order to request an accounting of 

previous disclosures of records 

pertaining to you as provided for by 5 

U.S.C. 552a(c). 

EXEMPTIONS PROMULGATED FOR THE SYSTEM: 

Any exemptions claimed for each 

specific system is described in the 

system’s corresponding SORN located 

here: https://www.federalreserve.gov/ 

system-of-records-notices.htm. 


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Federal Register / Vol. 83, No. 167 / Tuesday, August 28, 2018 / Notices 43875 

HISTORY: 

The history of the Board’s various 

systems can be located at: https://

www.federalreserve.gov/system-ofrecords-notices.htm by clicking on the 

Federal Register Notice associated with 

the SORN for each system. In order that 

the Board’s General Routine Uses will 

be contained in a single notice readily 

accessible by the public, the Board is 

taking the opportunity to republish the 

General Routine Uses previously 

published on May 6, 2008 (73 FR 24985) 

which were not revised under this 

notice. 

Board of Governors of the Federal Reserve 

System, August 23, 2018. 

Ann Misback, 

Secretary of the Board. 

[FR Doc. 2018–18627 Filed 8–27–18; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–18–1102] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

In accordance with the Paperwork 

Reduction Act of 1995, the Centers for 

Disease Control and Prevention (CDC) 

has submitted the information 

collection request titled Information 

Collection for Tuberculosis Data from 

Panel Physicians to the Office of 

Management and Budget (OMB) for 

review and approval. CDC previously 

published a ‘‘Proposed Data Collection 

Submitted for Public Comment and 

Recommendations’’ notice on May 29, 

2018 to obtain comments from the 

public and affected agencies. CDC 

received three comments related to the 

previous notice. This notice serves to 

allow an additional 30 days for public 

and affected agency comments. 

CDC will accept all comments for this 

proposed information collection project. 

The Office of Management and Budget 

is particularly interested in comments 

that: 

(a) Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of 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 omb@cdc.gov. Direct 

written comments and/or suggestions 

regarding the items contained in this 

notice to the Attention: CDC Desk 

Officer, Office of Management and 

Budget, 725 17th Street NW, 

Washington, DC 20503 or by fax to (202) 

395–5806. Provide written comments 

within 30 days of notice publication. 

Proposed Project 

Information Collection for 

Tuberculosis Data from Panel 

Physicians—Revision—National Center 

for Emerging and Zoonotic Infectious 

Diseases (NCEZID), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

The Centers for Disease Control and 

Prevention’s (CDC), National Center for 

Emerging and Zoonotic Infectious 

Diseases (NCEZID), Division of Global 

Migration and Quarantine (DGMQ), 

Immigrant, Refugee, and Migrant Health 

Branch (IRMH), requests approval for a 

revision of an existing information 

collection. This project pertains to 

collecting annual reports on certain 

tuberculosis data from U.S. panel 

physicians. 

The respondents are panel physicians. 

More than 760 panel physicians from 

336 panel sites perform overseas predeparture medical examinations in 

accordance with requirements, referred 

to as technical instructions, provided by 

DGMQs Quality Assessment Program 

(QAP). The role of QAP is to assist and 

guide panel physicians in the 

implementation of the Technical 

Instructions; evaluate the quality of the 

overseas medical examination for U.S.- 

bound immigrants and refugees; assess 

potential panel physician sites; and 

provide recommendations to the U.S. 

Department of State in matters of 

immigrant medical screening. 

To achieve DGMQ’s mission, the 

Immigrant, Refugee and Migrant Health 

branch (IRMH) works with domestic 

and international programs to improve 

the health of U.S.-bound immigrants 

and refugees to protect the U.S. public 

by preventing the importation of 

infectious disease. These goals are 

accomplished through IRMH’s oversight 

of medical exams required for all U.S.— 

bound immigrants and refugees who 

seek permanent residence in the U.S. 

IRMH is responsible for assisting and 

training the international panel 

physicians with the implementation of 

medical exam Technical Instructions 

(TI). Technical Instructions are detailed 

requirements and national policies 

regarding the medical screening and 

treatment of all U.S.-bound immigrants 

and refugees. 

Screening for tuberculosis (TB) is a 

particularly important component of the 

immigration medical exam and allows 

panel physicians to diagnose active TB 

disease prior to arrival in the United 

States. As part of the Technical 

Instructions requirements, panel 

physicians perform chest x-rays and 

laboratory tests that aid in the 

identification of tuberculosis infection 

(Class B1 applicants) and diagnosis of 

active tuberculosis disease (Class A, 

inadmissible applicants). CDC uses 

these classifications to report new 

immigrant and refugee arrivals with a 

higher risk of developing TB disease to 

U.S. state and local health departments 

for further follow-up. Some information 

that panel physicians collect as part of 

the medical exam is not reported on the 

standard Department of State forms (DSforms), thereby preventing CDC from 

evaluating TB trends in globally mobile 

populations and monitoring program 

effectiveness. 

Currently, CDC is requesting this data 

be sent by panel physicians once per 

year. The consequences of reducing this 

frequency would be the loss of 

monitoring program impact and TB 

burdens in mobile populations and 

immigrants and refugees coming to the 

United States on an annual basis. 

Estimated annual burden is being 

reduced by 1,640 hours per year. The 

number of respondents is being reduced 

by 17. Reductions are due to revised 

estimates on burden time per response, 

and the removal of four variables from 

the data collection form and improved 

IT capacity at most panel sites. The total 

hours requested is 1,008. There is no 

cost to the respondents other than their 

time. 


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