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Filovirus Diagnostic Specimen Submission
Requirements for the Importation of Nonhuman Primates into the United States
OMB: 0920-0263
IC ID: 206055
OMB.report
HHS/CDC
OMB 0920-0263
ICR 201406-0920-013
IC 206055
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0263 can be found here:
2020-08-14 - Revision of a currently approved collection
2017-06-02 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 71.53(v) (No Form)
Filovirus Diagnostic Specimen Submission
Form and Instruction
71.53(v) (No Form) Filovirus Diagnostic Specimen Submission Form for Non-hu
Attachment D - Filovirus Diagnostic Specimen Submission Form for Nonhuma....pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Filovirus Diagnostic Specimen Submission
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
71.53(v) (No Form)
Filovirus Diagnostic Specimen Submission Form for Non-human Primate Materials
Attachment D - Filovirus Diagnostic Specimen Submission Form for Nonhuma....pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
09-20-0171 Quarantine and Traveler Related Activities, Including Records for Contact Tracing, Investigation, and Notification Under 42 CFR Part 70-71
FR Citation:
72 FR 70867
Number of Respondents:
10
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
150
0
0
0
0
150
Annual IC Time Burden (Hours)
50
0
0
0
0
50
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.