7474 Federal Register / Vol. 80, No. 27 / Tuesday, February 10, 2015 / Notices 

TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS—Continued 

Title Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

.103(b)(5) Incident Reporting, .113 Suspension or Termination Reporting .... 6,000 0.5 45/60 2,250 

Total .......................................................................................................... ........................ ........................ ........................ 1,138,230 

OS specifically requests comments on 

(1) the necessity and utility of the 

proposed information collection for the 

proper performance of the agency’s 

functions, (2) the accuracy of the 

estimated burden, (3) ways to enhance 

the quality, utility, and clarity of the 

information to be collected, and (4) the 

use of automated collection techniques 

or other forms of information 

technology to minimize the information 

collection burden. 

Darius Taylor, 

Paperwork Reduction Act Reports Clearance 

Officer, Office of the Secretary. 

[FR Doc. 2015–02650 Filed 2–9–15; 8:45 am] 

BILLING CODE 4150–36–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–15–0821] 

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 

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. 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 

Quarantine Station Illness Response 

Forms: Airline, Maritime, and Land/

Border Crossing (0920–0821, exp. 08/

31/15)—Revision—National Center for 

Emerging and Zoonotic Infectious 

Diseases, Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

CDC is requesting a revision to a 

currently approved information 

collection, Quarantine Station Illness 

Response Forms: Airline, Maritime, and 

Land/Border Crossing). This revision 

seeks to incorporate the changes that 

resulted from activities undertaken 

during the response to Ebola. These 

changes include two major components, 

both of which have been given previous 

emergency clearance by OMB under 

Control Number 0920–1031 and 0920– 

1034, with an expiration date of April 

30, 2015. As a part of this revision, CDC 

is requesting the full three year approval 

and 12 months of burden for the 

following: 

The incorporation of two public 

health screening forms that are currently 

used to assess risk for Ebola in travelers 

coming to the United States from 

countries experiencing widespread 

transmission of the disease. These forms 

are the United States Traveler Health 

Declaration and a completely revised 

Ebola Entry Screening Risk Assessment 

Form, each given approval from OMB 

under OMB Control No 0920–1031. The 

additional burden requested for the 

English versions of the health 

declaration and the risk assessment 

form, as well as the French and Arabic 

translation guides for the health 

declaration and risk assessment forms, 

is 13,664 hours. 

In this revision, CDC is maintaining 

the ability to use the Ebola Entry 

Screening Risk Assessment Form in the 

event that a traveler is identified as ill 

on a U.S.-bound flight prior to arrival. 

In the no material or non-substantive 

change to a currently approved 

collection granted by OMB on 9/18/

2014, CDC requested 100 respondents 

and 5 hours of burden. Because the risk 

assessment form is more 

comprehensive, it requires more time 

for a traveler to complete the 

assessment. CDC is requesting an 

additional 20 hours of burden for the 

purpose of assessing ill travelers, for a 

total of 25 hours of burden. No 

additional respondents are requested. 

CDC is also requesting the 

incorporation of a telephonic, 

automated survey administered through 

the Interactive Voice Response (IVR) 

phone system, which asks travelers if 

they have developed a fever or any other 

symptoms potentially indicative of 

Ebola exposure (OMB Control No 0920– 

1034). The IVR system would be 

implemented to assist state and local 

public health authorities with active 

monitoring of individuals coming to the 

United States from countries affected by 

the current Ebola outbreak. Use of this 

information collection tool would be 

voluntary and provides a cost- and timesaving mechanism for supporting states 

with their active monitoring 

responsibilities. The additional 12- 

month annualized burden requested for 

the use of the IVR system is 

approximately 71,400 hours. 

No revisions are requested to the Air 

Travel, Maritime Conveyance or Land 

Travel Illness and Death Investigation 

forms or burden associated with these 

forms. The current burden associated 

with these routine information 

collections is 314 hours. 


rljohnson on DSK3VPTVN1PROD with NOTICES
Federal Register / Vol. 80, No. 27 / Tuesday, February 10, 2015 / Notices 7475 

This revision to 0920–0821 

incorporates burden estimates provided 

for the emergency information 

collection 0920–1031 and 0920–1034, 

which have been updated and 

annualized. The total additional burden 

requested for this revision is 105,571 

respondents and 85,063 burden hours. 

The estimated total burden for 0920– 

0821 is 109,429 respondents and 85,382 

burden hours. There is no burden to 

respondents other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Respondent Form Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in minutes) 

Traveler ............... Airline Travel Illness or Death Investigation Form ..................................... 1,626 1 5/60 

Traveler ............... Maritime Conveyance Illness or Death Investigation Form ....................... 1,873 1 5/60 

Traveler ............... Land Travel Illness or Death Investigation Form ....................................... 259 1 5/60 

Traveler ............... Ebola Entry Screening Risk Assessment Form (Ill traveler interview: 

English, French, Arabic, or other as needed).

100 1 15/60 

Traveler ............... United States Travel Health Declaration (English: Hard Copy, fillable 

PDF, electronic portal).

49,238 1 15/60 

Traveler ............... United States Travel Health Declaration (French translation guide) ......... 1,586 1 15/60 

Traveler ............... United States Travel Health Declaration (Arabic translation guide) .......... 176 1 15/60 

Traveler ............... Ebola Entry Screening Risk Assessment Form (English hard copy) ........ 3,447 1 15/60 

Traveler ............... Ebola Entry Screening Risk Assessment French translation guide .......... 111 1 15/60 

Traveler ............... Ebola Entry Screening Risk Assessment Arabic translation guide ........... 13 1 15/60 

Traveler ............... IVR Active Monitoring Survey (English: Recorded) ................................... 49,238 21 4/60 

Traveler ............... IVR Active Monitoring Survey (French: Recorded) ................................... 1,586 21 4/60 

Traveler ............... IVR Active Monitoring: Arabic translation assistance ................................ 176 21 4/60 

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. 2015–02624 Filed 2–9–15; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–15–15EC] 

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 

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. 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 

Improving Organizational 

Management and Worker Behavior 

through Worksite Communication— 

New—National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

NIOSH, under Public Law 91–596, 

Sections 20 and 22 (Section 20–22, 

Occupational Safety and Health Act of 

1977) has the responsibility to conduct 

research relating to innovative methods, 

techniques, and approaches dealing 

with occupational safety and health 

problems. 

This research assesses best practices 

for communicating and employing a 

strategic health and safety management 

system (HSMS) to facilitate workers’ 

health and safety behaviors, including 

ways that lateral communication from 

management influences worker 

perceptions and behaviors. Currently, 

ambivalence exists about how to 

strategically communicate aspects of an 

HSMS top-down in the mining industry. 

Research indicates that, to answer 

questions about effectively using an 

HSMS to improve safety, research needs 

to follow a sample of workplaces over 

time, measuring the introduction or 

utilization of an HSMS and then 

measuring outcomes of interest at the 

workplace level and worker level. 

Therefore, analyzing workers’ 

perceptions of the organization’s HSMS, 

leaders’ implementation of the 

organization’s HSMS, and 

communication gaps between these two 

groups, may provide more insight into 

the best, most feasible practices and 

approaches to worker H&S performance 

within a system. This project is 

initiating such an approach by 

implementing a series of multilevel 

intervention (MLI) case studies that 

assess the utility of a safety system that 

includes aspects of both safety 

management on the organizational level 

and behavior-based safety on the worker 

level. By studying these levels 

separately and introducing an 


rljohnson on DSK3VPTVN1PROD with NOTICES