Information Collection Request

[NCEZID] 2024 Marburg Airport Entry Questionnaires

ICR 202410-0920-011 · OMB 0920-1443 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1443 can be found here:

2024-11-19 - No material or nonsubstantive change to a currently approved collection
2024-10-16 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
POE Public Health Risk Assessment Form - CDC Marburg Response Form and Instruction	New
POE Public Health Risk Assessment Form - CDC Marburg Response Form and Instruction	New
CDC Initial Screening – Marburg Form and Instruction	New
CDC Initial Screening – Marburg Form and Instruction	New
Emergency Request Memo_2024 Marburg Entry Risk Assessment dbj_10.9.24.pdf Supplementary Document	2024-10-09
Emergency Request Memo_2024 Marburg Entry Risk Assessment dbj_10.9.24.pdf Supplementary Document	2024-10-09
Attachment F- IRB Non-Research Determination.pdf Supplementary Document	2024-10-09
Attachment F- IRB Non-Research Determination.pdf Supplementary Document	2024-10-09
Attachment E-Privacy Impact Assessment_QARS_Signed_2022-07-29.pdf Supplementary Document	2024-10-09
Attachment E-Privacy Impact Assessment_QARS_Signed_2022-07-29.pdf Supplementary Document	2024-10-09
Attachment A2-42 CFR part 71.pdf Supplementary Document	2024-10-09
Attachment A2-42 CFR part 71.pdf Supplementary Document	2024-10-09
Attachment A1-42 USC 264.pdf Supplementary Document	2024-10-09
Attachment A1-42 USC 264.pdf Supplementary Document	2024-10-09
SSB Emergency Clearance - 2024 Marburg Airport Entry Questions.docx Supporting Statement B	2024-10-09
SSB Emergency Clearance - 2024 Marburg Airport Entry Questions.docx Supporting Statement B	2024-10-09
SSA Emergency Clearance - 2024 Marburg Airport Entry Questions.docx Supporting Statement A	2024-10-09
SSA Emergency Clearance - 2024 Marburg Airport Entry Questions.docx Supporting Statement A	2024-10-09

IC Document Collections

IC ID	Document Title	Status
271517	POE Public Health Risk Assessment Form - CDC Marburg Response Form and Instruction	New
271517	POE Public Health Risk Assessment Form - CDC Marburg Response Form and Instruction	New
271515	CDC Initial Screening – Marburg Form and Instruction	New
271515	CDC Initial Screening – Marburg Form and Instruction	New

ICR Details

Status	Historical Active
Agency/Subagency	HHS/CDC
OMB Control No	0920-1443
Type of Information Collection	New collection (Request for a new OMB Control Number)
Agency Tracking No	0920-25AE
Date Submitted to OIRA	2024-10-09
Requested Expiration Date	2024-10-11