<NOTICE>
DEPARTMENT OF HEALTH AND HUMAN SERVICES
<SUBAGY>Centers for Disease Control and Prevention</SUBAGY>
<DEPDOC>[60Day-25-1260; Docket No. CDC-2025-0684]</DEPDOC>
<SUBJECT>Proposed Data Collection Submitted for Public Comment and Recommendations</SUBJECT>
<HD SOURCE="HED">AGENCY:</HD>
Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS).
<HD SOURCE="HED">ACTION:</HD>
Notice with comment period.
<SUM>
<HD SOURCE="HED">SUMMARY:</HD>
The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other federal agencies the opportunity to comment on a continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled Maritime Illness Database and Reporting System (MIDRS). This data collection is designed to allow the Vessel Sanitation Program (VSP) to monitor acute gastroenteritis (AGE) illness on cruise ships, conduct sanitation inspections, perform epidemiologic investigations when outbreaks occur, and formulate public health recommendations to prevent future transmission and outbreaks.
</SUM>
<DATES>
<HD SOURCE="HED">DATES:</HD>
CDC must receive written comments on or before January 20, 2026.
</DATES>
<HD SOURCE="HED">ADDRESSES:</HD>
You may submit comments, identified by Docket No. CDC-2025-0684 by either of the following methods:
•
<E T="03">Federal eRulemaking Portal:</E>
<E T="03">www.regulations.gov.</E>
Follow the instructions for submitting comments.
•
<E T="03">Mail:</E>
Jeffrey M. Zirger, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS H21-8, Atlanta, Georgia 30329.
<E T="03">Instructions:</E>
All submissions received must include the agency name and Docket Number. CDC will post, without change, all relevant comments to
<E T="03">www.regulations.gov.</E>
<E T="03">Please note:</E>
Submit all comments through the Federal eRulemaking portal (
<E T="03">www.regulations.gov</E>
) or by U.S. mail to the address listed above.
<FURINF>
<HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Jeffrey M. Zirger, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570; Email:
<E T="03">omb@cdc.gov.</E>
</FURINF>
<SUPLINF>
<HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
Under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. In addition, the PRA also requires federal agencies to provide a 60-day notice in the
<E T="04">Federal Register</E>
concerning each proposed collection of information, including each new proposed collection, each proposed extension of existing collection of information, and each reinstatement of previously approved information collection before submitting the collection to the OMB for approval. To comply with this requirement, we are publishing this notice of a proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. 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;
2. Evaluate the accuracy of the agency's estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to be collected;
4. 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 T="03">e.g.,</E>
permitting electronic submissions of responses; and
5. Assess information collection costs.
<HD SOURCE="HD1">Proposed Project</HD>
Maritime Illness Database and Reporting System (MIDRS) (OMB Control No. 0920-1260, Exp. 3/31/2026)—Extension—National Center for Environmental Health (NCEH), Centers for Disease Control and Prevention (CDC).
<HD SOURCE="HD2">Background and Brief Description</HD>
The purpose of this Extension Information Collection Request (ICR) is to request a three-year Paperwork Reduction Act (PRA) Clearance for CDC's Maritime Illness Database and Reporting System (MIDRS) surveillance system. Operationally, CDC has divided the responsibilities for enforcing foreign quarantine regulations between the Vessel Sanitation Program (VSP) and the Division of Global Migration and Quarantine (DGMQ). VSP takes the lead on overseeing acute gastroenteritis (AGE) illness surveillance and outbreak investigation activities on passenger ships using MIDRS, while DGMQ monitors all non-AGE illnesses and deaths on passenger vessels as well as all diseases of public health concern on all other conveyances with international itineraries bound for the U.S. under “Foreign Quarantine Regulations (42 CFR part 71)” (OMB Control No. 0920-0134, Exp. 03/31/2026). The MIDRS data collection system consists of a surveillance system that receives information electronically through a web portal or email receiver; data can also be submitted by phone or email and entered in MIDRS by VSP. AGE cases reported in MIDRS are cumulative totals for the entire voyage and do not represent the number of active AGE cases at any given port of call or at disembarkation. The AGE log, 72-hour food/activity history questionnaires and other required documentation are completed and maintained on the ship.
Data collected as a part of this data collection will allow VSP to quickly detect AGE outbreaks, provide epidemiologic and sanitation guidance to stop the outbreak, craft public health recommendations to prevent future outbreaks, and monitor AGE illness trends to identify important changes over time. There are two types of respondents for this data collection: Cruise ship medical staff or other designated personnel who report AGE cases; and AGE cases who provide information for the 72-hour food/activity history questionnaires. Of note, VSP will not receive any information from or about the AGE cases; this information is collected and owned by the cruise line and maintained on the ship as part of the AGE case's medical record. VSP reviews these records during operational inspections to confirm they are available if needed, and if there is an AGE outbreak or report of unusual AGE illness for a particular voyage.
CDC requests OMB approval for an estimated 5,769,395 annual burden hours. There are no costs to respondents other than their time.
<GPOTABLE COLS="6" OPTS="L2,nj,i1" CDEF="s50,r75,12,12,12,12">
<TTITLE>Estimated Annualized Burden Hours</TTITLE>
<CHED H="1">Type of respondents</CHED>
<CHED H="1">Form name</CHED>
<ENT I="01">Cruise ship medical staff or other designated personnel</ENT>
<ENT>AGE Illness Report 24 hours before arrival (via web portal or email receiver)</ENT>
<ENT>270</ENT>
<ENT>30</ENT>
<ENT>3/60</ENT>
<ENT>AGE Illness Report 24 hours before arrival (via email or phone)</ENT>
<ENT>30</ENT>
<ENT>30</ENT>
<ENT>3/60</ENT>
<ENT>AGE Illness Report 4 hours before arrival (via web portal or email receiver)</ENT>
<ENT>216</ENT>
<ENT>30</ENT>
<ENT>3/60</ENT>
<ENT>AGE Illness Report 4 hours before arrival (via email or phone)</ENT>
<ENT>24</ENT>
<ENT>30</ENT>
<ENT>3/60</ENT>
<ENT>Special Reports exceeding 2%-3% AGE Threshold (via web portal, email receiver, email, or phone)</ENT>
<ENT>180</ENT>
<ENT>4</ENT>
<ENT>3/60</ENT>
<ENT>Recordkeeping of AGE Surveillance Records</ENT>
<ENT>300</ENT>
<ENT>1</ENT>
<ENT>8,760</ENT>
<ENT>2,628,000</ENT>
</ROW>
<ROW>
<ENT I="01">Cruise ship crew</ENT>
72-hour Food/Activity History Template (AGE cases)
Three-day Pre-embarkation AGE Illness Assessment (all crew members)
<ENT>Interviews to Determine AGE Status (initial, 24-hr, 48-hr)*asymptomatic cabin mates and immediate contacts of symptomatic crew</ENT>
<ENT>90,000</ENT>
<ENT>2</ENT>
<ENT>5/60</ENT>
<ENT>15,000</ENT>
</ROW>
<ROW>
<ENT I="22"> </ENT>
<ENT>Last Symptom Check and Return to Work Clearance (food and nonfood employees)</ENT>
<ENT>18,000</ENT>
<ENT>1</ENT>
<ENT>3/60</ENT>
<ENT>900</ENT>
</ROW>
<ROW>
<ENT I="01">Cruise ship passengers</ENT>
<ENT>72-hour food/activity history questionnaires (AGE cases)</ENT>
<ENT>45,000</ENT>
<ENT>1</ENT>
<ENT>10/60</ENT>
<ENT>7,500</ENT>
</ROW>
<ROW RUL="n,n,s">
<ENT I="01">Cruise ship engineering staff or other designated personnel</ENT>
<ENT>Recordkeeping of Engineering and Sanitation Records</ENT>
<ENT>300</ENT>
<ENT>1</ENT>
<ENT>8,760</ENT>
<ENT>2,628,000</ENT>
</ROW>
<ROW>
<ENT I="03">Total</ENT>
<NAME>Jeffrey M. Zirger,</NAME>
Lead, Information Collection Review Office, Office of Public Health Ethics and Regulations, Office of Science, Centers for Disease Control and Prevention.
</SIG>
</SUPLINF>
<FRDOC>[FR Doc. 2025-20580 Filed 11-20-25; 8:45 am]</FRDOC>
</NOTICE>
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