42 CFR 70.4 Copy of Material submitted to Health Authority

Restrictions on Interstate Travel of Persons

OMB: 0920-0488

IC ID: 205724

Information Collection (IC) Details

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42 CFR 70.4 Copy of Material submitted to Health Authority
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Restriction on Travel of Persons Attachment 4 Master of Vessel or Conveyance Illness Report 101712.doc Yes Yes Fillable Fileable

Health Immunization Management

Quarantine and Traveler-Related Activities , Including Records for Contact Tracing, Investigation and Notification under 42CFR Parts 70 and 71  72 FR 70867

200 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 200 0 200 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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