[Federal Register Volume 89, Number 203 (Monday, October 21, 2024)]
[Notices]
[Pages 84142-84144]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-24304]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-25-25AE; Docket No. CDC-2024-0078]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled 2024 Marburg Airport Entry 
Questionnaires. This information collection is intended to assess risk 
for infection or exposure to Marburg in travelers coming to the United 
States from areas affected by an outbreak of Marburg originating in 
Rwanda.

DATES: CDC must receive written comments on or before December 20, 
2024.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0078 by either of the following methods:
    <bullet> Federal eRulemaking Portal: www.regulations.gov. Follow 
the instructions for submitting comments.
    <bullet> Mail: Jeffrey M. Zirger, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, MS H21-8, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to www.regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (www.regulations.gov) or by U.S. mail to the address listed 
above.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Jeffrey M. Zirger, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570; 
Email: <a href="/cdn-cgi/l/email-protection#85eae8e7c5e6e1e6abe2eaf3"><span class="__cf_email__" data-cfemail="533c3e31133037307d343c25">[email protected]</span></a>.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. 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;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected;
    4. 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 
submissions of responses; and
    5. Assess information collection costs.

Proposed Project

    2024 Marburg Airport Entry Questionnaires--New--National Center for 
Emerging and Zoonotic Infectious

[[Page 84143]]

Diseases (NCEZID), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    The Centers for Disease Control and Prevention (CDC), National 
Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division 
of Global Migration Health (DGMH) requests an Emergency approval for a 
New Information Collection Request (ICR). Section 361 of the Public 
Health Service (PHS) Act (42 U.S.C. 264) authorizes the Secretary of 
Health and Human Services (HHS) to make and enforce regulations 
necessary to prevent the introduction, transmission or spread of 
communicable diseases from foreign countries into the United States. 
Under its delegated authority, DGMH works to fulfill this 
responsibility through a variety of activities, including the operation 
of Port Health Stations at ports of entry and administration of foreign 
quarantine regulations; 42 Code of Federal Regulation part 71, 
specifically 42 CFR 71.20 Public Health prevention measures to detect 
communicable disease. This information collection concerns CDC's 
statutory and regulatory authority related to conducting public health 
screening of travelers upon arrival to the United States and assessing 
individual travelers for public health risk following a report of 
illness from a conveyance.
    CDC has been tasked with conducting public health assessments at 
U.S. airports of travelers coming from areas experiencing an outbreak 
of Marburg originating in Rwanda. The purpose of this information 
collection is to determine the public health risk that travelers from 
areas affected by the 2024 outbreak of Marburg originating in Rwanda 
may pose. This information will be used to: (1) determine if travelers 
have symptoms consistent with Marburg virus disease (MVD) and should be 
isolated and medically evaluated upon arrival in the U.S.; and (2) 
assist state and local health departments with understanding which 
travelers from the region may be at higher risk of becoming ill with 
MVD and should be prioritized for taking certain public health 
protection measures, such as isolation or quarantine.
    CDC collects international travelers' contact information under 
authorities in the Interim Final Rule: Control of Communicable 
Diseases: Foreign Quarantine and CDC's Order Requirement for Airlines 
and Operators to Collect and Transmit Designated Information for 
Passengers and Crew Arriving Into the United States; Requirement for 
Passengers to Provide Designated Information. Traveler contact 
information is sent to CDC though an existing data-sharing 
infrastructure in place between the United States Department of 
Homeland Security (DHS) and HHS/CDC and approved in OMB Control Number 
0920-1354. Contact information for travelers who have been to an area 
affected by the outbreak during the 21 days prior to arrival will be 
confirmed at the port of entry. CDC will share contact information for 
these travelers with state and local health departments so that they 
can do possible public health follow up, including public health 
assessment of exposure risk and monitoring for MVD symptoms, and 
education to travelers. These public health interventions will help 
state and local health departments determine the appropriate level of 
follow needed based on the traveler's level of risk and rapidly 
identify any travelers with symptoms that may need to be prioritized 
for more targeted public health measures, such as quarantine, due to a 
higher risk of exposure to Marburg.
    To implement the 2024 Marburg Airport Entry Questionnaires 
information collection, CDC will first require all travelers from 
designated areas affected by the 2024 outbreak of Marburg originating 
in Rwanda, to undergo an initial screening to determine if CDC needs to 
do further public health risk assessment or illness response at the 
airport. DHS will refer travelers that have been to designated areas to 
another location of the airport where CDC will ask initial MVD 
screening questions. DHS will also provide the contact information they 
have received to CDC electronically as part of the information 
collection under OMB Control Number 0920-1354. CDC will escort 
travelers to the area of the initial MVD screening and confirm with the 
traveler that the contact information on file is correct. CDC will 
inform DHS if there are any necessary corrections needed to the contact 
information.
    In this initial MVD screening setting, CDC will ask basic questions 
about signs or symptoms of illness (e.g., fever, rash, diarrhea, etc.) 
or possible exposure (e.g., contact with a person sick with MVD, 
attendance at a funeral, etc.) as well as observe travelers to 
determine if the traveler is experiencing any overt signs and symptoms 
of disease, and measure their temperature with a noncontact 
thermometer. If a traveler answers ``Yes'' to any of these initial 
screening questions, is visibly ill, or has a fever, the traveler will 
then be referred to another area of the airport for a public health 
risk assessment by CDC. The public health risk assessment will help CDC 
investigate further to determine if the traveler could be sick with MVD 
or to get more information about a possible exposure to the Marburg 
virus to determine if the traveler is high-risk.
    The CDC staff member doing the initial MVD screening will escort 
the traveler to the new area of the airport for further public health 
risk assessment questions by other staff members of CDC. They will 
indicate the reason the traveler is being referred for further public 
health risk assessment to the new CDC staff member. Any traveler who is 
visibly ill or reports signs or symptoms, or has an elevated 
temperature measurement, will undergo an illness investigation using 
the Air Travel Illness or Death Investigation or Traveler Follow up 
Form that is currently approved under OMB Control Number 0920-1318. 
Staff will take necessary precautions to prevent possible exposures by 
any ill travelers, such as wearing appropriate personal protective 
equipment during any illness investigation.
    During the CDC public health risk assessment, CDC will ask more 
detailed questions about possible exposures, such as symptoms, whether 
they were exposed to a person with MVD, and the nature of contact 
(e.g., provided direct health care). Depending on their symptoms and 
how they answer, CDC may refer the person for medical care. If CDC 
staff identify any travelers with high-risk exposures, management will 
be coordinated directly with the health departments of jurisdiction for 
both the airport where traveler is located and their final destination. 
Issuance of public health orders under federal or state authorities may 
also be considered. Any information from these public health risk 
assessments, as well as information related to an illness investigation 
will be recorded in CDC's Port Health Activity Reporting System 
(PHARS), which is covered by the System of Records Notice is 09-20-
0171, Quarantine- and Traveler-Related Activities.
    CDC requests OMB approval for an estimated 5,110 annual burden 
hours. There is no cost to respondents other than their time to 
participate.

[[Page 84144]]



                                        Estimated Annualized Burden Hours
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                                                                                          Average
                                                            Number of      Number of     burden per     Total
        Type of respondents               Form name        respondents   responses per    response    burden (in
                                                                          respondent     (in hours)     hours)
----------------------------------------------------------------------------------------------------------------
Traveler..........................  CDC Initial                 43,800               1         5/60        3,650
                                     Screening--Marburg.
Traveler..........................  POE Public Health            4,380               1        20/60        1,460
                                     Risk Assessment
                                     Form--CDC Marburg
                                     Response.
                                                          ------------------------------------------------------
    Total.........................  .....................  ...........  ..............  ...........        5,110
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health 
Ethics and Regulations, Office of Science, Centers for Disease Control 
and Prevention.
[FR Doc. 2024-24304 Filed 10-18-24; 8:45 am]
BILLING CODE 4163-18-P


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