[Federal Register Volume 87, Number 124 (Wednesday, June 29, 2022)]
[Notices]
[Pages 38759-38760]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-13889]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-22-0488]


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 Interstate Travel of Persons: Report of 
Illness or Death (42 CFR part 70) 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 April 1, 2022 to obtain comments from the 
public and affected agencies. CDC received one comment 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. Comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. 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

    Interstate Travel of Persons: Report of Illness or Death (42 CFR 
part 70)--Revision--National Center for Emerging Zoonotic and 
Infectious Diseases (NCEZID), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    Section 361 of the Public Health Service Act (42 U.S.C. 264) 
authorizes the Secretary of the Department of Health and Human Services 
to make and enforce regulations necessary to prevent the introduction, 
transmission, or spread of communicable diseases from foreign countries 
into the United States, or from one State or possession into any other 
State or possession. Regulations pertaining to preventing the 
importation and spread of communicable diseases from foreign countries 
(42 CFR part 71) are administered by the Centers for Disease Control 
and Prevention (CDC). Regulations pertaining to interstate control of 
communicable diseases (42 CFR part 70) are also administered by CDC.
    Regulations found at 42 CFR part 70.4 require that the master of a 
vessel or a person in charge of a conveyance engaged in interstate 
traffic, on which a suspected case of communicable disease develops 
shall notify the local health authority at the next port of call, 
station, or stop, and take such measures to prevent the spread of the 
disease as the local health authority directs. There is no standard 
form, however CDC posts guidance for airlines related to these 
regulations on CDC's website: https://www.cdc.gov/quarantine/air/reporting-deaths-illness/guidance-reporting-onboard-deaths-illnesses.html.
    Section 70.11 Report of death or illness onboard aircraft operated 
by an airline states:
    (a) The pilot in command of an aircraft operated by an airline who 
is conducting a commercial passenger flight in interstate traffic under 
a regular schedule shall report as soon as practicable to the Director 
the occurrence onboard of any deaths or the presence of ill persons 
among passengers or crew and take such measures as the Director may 
direct to

[[Page 38760]]

prevent the potential spread of the communicable disease, provided that 
such measures do not affect the airworthiness of the aircraft or the 
safety of flight operations.
    (b) The pilot in command of an aircraft operated by an airline who 
reports in accordance with paragraph (a) of this section shall be 
deemed to satisfy the reporting obligation under 42 CFR 70.4.
    For the purposes of these regulations, ill person means an 
individual who:
    (1) Has a fever (a measured temperature of 100.4 [deg]F [38 [deg]C] 
or greater, or feels warm to the touch, or gives a history of feeling 
feverish) accompanied by one or more of the following: Skin rash, 
difficulty breathing, persistent cough, decreased consciousness or 
confusion of recent onset, new unexplained bruising or bleeding 
(without previous injury), persistent diarrhea, persistent vomiting 
(other than air sickness), headache with stiff neck, appears obviously 
unwell; or
    (2) Has a fever that has persisted for more than 48 hours; or
    (3) Has symptoms or other indications of communicable disease, as 
the CDC may announce through posting of a notice in the Federal 
Register.
    Control of disease transmission within the United States is largely 
considered to be the province of State and local health authorities, 
with Federal assistance being sought by those authorities on a 
cooperative basis, without application of Federal regulations. The 
regulations at 42 CFR part 70 were developed to facilitate Federal 
action in the event of large outbreaks requiring a coordinated effort 
involving several States, or in the event in inadequate local control. 
While it is not known whether, or to what extent, situations may arise 
in which these regulations would be invoked, contingency planning for 
domestic emergency preparedness is not uncommon. If a domestic 
emergency occurs, the reporting and record keeping requirements 
contained in the regulations will be used by CDC to carry out 
quarantine responsibilities as required by law, specifically, to 
prevent the spread of communicable diseases from one State or 
possession into any other State or possession.
    The data collected under 70.4 and 70.11 is also a critical part of 
CDC's routine and emergency response operations. It involves the 
collection of reports of illnesses that occur aboard domestic flights 
or maritime voyages within the U.S. For routine reports of illness 
aboard domestic voyages airplane captains will continue to report 
electronically (e.g., verbally via radio to Air Traffic Control or the 
airlines' points of contact [e.g., Operations Center, Flight Control, 
Airline Station Manager]). Masters of maritime vessels engaged in 
interstate travel may report via email or other electronic method.
    The reporting of required and requested signs and symptoms of 
disease outlined above, as well as any death, is the minimum necessary 
to meet statutory and regulatory obligations, and is consistent with 
International Civil Aviation Organization (ICAO) standards for 
aircraft.
    CDC anticipates certain cost burdens to respondents and record 
keepers due to the requirements. These costs fall into the following 
categories:
    For reports of death or communicable disease made by a pilot in 
command of an aircraft, or a master of a vessel or person in charge of 
a conveyance engaged in interstate traffic, the requested burden is 
approximately 186 hours. This total is estimated from approximately 
1,600 domestic reports of death or communicable disease a year, 1,400 
being from aircrafts, and approximately 200 from other conveyances 
(water vessels, buses, or trains) with an average burden of seven 
minutes per report. There is no standard form for reporting to CDC or 
the health departments and there is no cost to respondents other than 
their time to participate.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
         Type of respondent                   Form name              Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Pilot in command...................  42 CFR 70.11 Report of                1,400               1            7/60
                                      death or illness onboard
                                      aircraft operated by
                                      airline (No Form).
Master of vessel or person in        42 CFR 70.4 Report by the               200               1            7/60
 charge of conveyance.                master of a vessel or
                                      person in charge of
                                      conveyance of the
                                      incidence of a
                                      communicable.
                                     disease occurring while in
                                      interstate travel (No
                                      form).
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2022-13889 Filed 6-28-22; 8:45 am]
BILLING CODE 4163-18-P