OMB control number

[NCEH] Maritime Illness Database and Reporting System (MIDRS)

OMB 0920-1260 · HHS/CDC.

OMB 0920-1260

The CDC’s Vessel Sanitation Program (VSP) is requesting a 3-year Paperwork Reduction Act (PRA) clearance for this revision information collection request (ICR). In the past three years, the VSP has received 13,352 AGE reports to through its “Maritime Illness Database and Reporting System (MIDRS)” (OMB Control No. 0920-1260; expiration date 04/30/2022). Since the first quarter of 2020, the COVID-19 pandemic disrupted the number of cruise ship voyages operating to U.S. ports of call. Between March 2020 and October 2021, cruise industry operations were suspended under a federally issued No Sail Order, and then subsequently under a Conditional Sailing Order to prevent the risk of introducing, transmitting, and spreading COVID-19 by cruise ship travelers. As a result, the number of AGE reports submitted to MIDRS in 2020 and 2021 was substantially lower (n=2,667 and n=1,717, respectively), compared to 2019 (n=8,968). The information collected by the VSP is designed to align with and support the collaboration between the cruise ship industry and government to define and reduce health risks associated with vessels and to ensure a healthful and clean environment for vessels’ passengers and crew.

The latest form for [NCEH] Maritime Illness Database and Reporting System (MIDRS) expires 2026-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Recordkeeping of Engineering and Sanitation Records Form and Instruction
(Passenger) 72-hour Food/Activity History Template (AGE cases) Form and Instruction
Last Symptom Check and Return to Work Clearance (food and nonfood employees) Form and Instruction
Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew) Form and Instruction
Three-day Pre-embarkation AGE Illness Assessment (all crew members) Form and Instruction
(CREW) 72-hour Food/Activity History Template (AGE cases) Form
Recordkeeping of AGE Surveillance Records Form and Instruction
Daily Reports of AGE Logs Form and Instruction
Special Reports exceeding 2%-3% AGE Threshold (web/phone/email/fax) Form and Instruction
AGE Illness Report 4 hours before arrival (phone/email/fax) Form and Instruction
AGE Illness Report 4 hours before arrival (web) Form and Instruction
AGE Illness Report 24 hours before arrival (phone/email/fax) Form and Instruction
AGE Illness Report 24 hours before arrival (web) Form and Instruction

All Historical Document Collections

202603-0920-012	Extension without change of a currently approved collection	2026-03-18
202204-0920-002 Approved without change	Revision of a currently approved collection	2022-04-05
201812-0920-009 Approved without change	New collection (Request for a new OMB Control Number)	2019-03-04

OMB Details

71.21(c) Gastrointestinal Illness Report - 24 and 4 hours before arrival (MIDRS)

Federal Enterprise Architecture: Health - Public Health Monitoring

Form NA	Gastrointestinal Illness (GI) Template	NA	Form and instruction
Form NA	MIDRS Template - screenshot	NA	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.