Information Collection Request

[NCEZID] Traveler-based Genomic Surveillance

ICR 202302-0920-019 · OMB 0920-1406 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1406 can be found here:

Forms and Documents

Document Name	Status
Traveler-based Genomic Surveillance Questionnaire Form	New
Attachment 6-Human Subjects Determination.pdf Supplementary Document	2023-03-09
Attachment 5-Privacy Impact Assessment.pdf Supplementary Document	2023-03-09
Attachment 4B - Recruitment Script.docx Supplementary Document	2023-03-09
Attachment 4A - Consent.docx Supplementary Document	2023-03-09
Attachment 2 - 60-day FRN.pdf Supplementary Document	2023-03-09
Attachment 1D - Authorizing Legislation - Section 311.pdf Supplementary Document	2023-03-09
Attachment 1C - Authorizing Legislation - Section 301.pdf Supplementary Document	2023-03-09
Attachment 1B - Authorizing Legislation - 42 CFR 71.pdf Supplementary Document	2023-03-09
Attachment 1A - Authorizing Legislation - 42 CFR 70.pdf Supplementary Document	2023-03-09
2. Supporting Statement B.docx Supporting Statement B	2023-03-09
1. Supporting Statement A_final.docx Supporting Statement A	2023-03-09

IC Document Collections

IC ID	Document Title	Status
259028	Traveler-based Genomic Surveillance Questionnaire Form	New

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1406
Type of Information Collection	New collection (Request for a new OMB Control Number)
Agency Tracking No	0920-22ET
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31