CDC's Sea Sickness Database: Help Refine the Reporting Forms
Published Date: 3/17/2026
Notice
Summary
The CDC is asking for your thoughts on their Maritime Illness Database and Reporting System forms before they get official approval. This review helps make sure the forms are useful, clear, and not too much work for people to fill out. You’ve got 30 days to share your ideas, so don’t miss your chance to help shape how this info is collected!
Analyzed Economic Effects
5 provisions identified: 0 benefits, 4 costs, 1 mixed.
Crew Health Screening and Assessments
Cruise ship crew must complete pre-embarkation and ongoing AGE assessments. The table lists a Three-day Pre-embarkation AGE Illness Assessment with 9,720,000 respondents at 3 minutes each, interviews for 90,000 respondents twice at 5 minutes each, and other checks (e.g., last symptom check for 18,000 respondents at 3 minutes).
Continuous Recordkeeping Burden on Ships
Ships must maintain AGE surveillance records and engineering/sanitation records that the table lists as 300 respondents each with 8,760 hours per respondent for recordkeeping. Each of these recordkeeping items represents large annual hours (2,628,000 hours per line in the table).
Medical Staff Reporting Time Burden
Cruise ship medical staff or other designated personnel must submit multiple Acute Gastroenteritis (AGE) illness reports to MIDRS. The notice lists examples such as 24 respondents submitting 270 reports each at 3 minutes per report, and CDC requests OMB approval for an estimated 5,769,350 annual burden hours across all respondents.
Passenger Questionnaires for AGE Cases
Cruise ship passengers who are AGE cases must complete 72-hour food/activity history questionnaires. The notice lists 45,000 respondents completing one questionnaire each at 10 minutes per questionnaire.
Who Owns Individual Medical Records
The notice says AGE case information is collected and owned by the cruise line and kept on the ship as part of the case's medical record; VSP will not receive individual AGE case information but may review those records during inspections. MIDRS reports are cumulative voyage totals and do not represent active cases at ports or disembarkation.
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Key Dates
Department and Agencies
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