Airport or Other Port of Entry Staff Assessment

Emergency Submission to Supplement OMB Control Number 0920-0900 in Context of Contact Investigations Associated with Ebola and Travel

Documents and Forms

Document Name Document Type
Airport or Other Port of Entry Staff Assessment Form
Airport or Other Port of Entry Staff Assessment Attachment E Ebola Airline Exposure Assessment Airport Staff_10-15-2014.doc Form

Information Collection (IC) Details

IC Title:	Airport or Other Port of Entry Staff Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	none	Airport or Other Port of Entry Staff Assessment	Attachment E Ebola Airline Exposure Assessment Airport Staff_10-15-2014.doc		No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: 09-20-0171 Quarantine and Traveler Related Activities, Including Records for Contact Tracing Investigation and Notification under CFR Parts 70 and 71	FR Citation: 72 FR 70867

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,000	1,000
Annual IC Time Burden (Hours)	-333	333
Annual IC Cost Burden (Dollars)	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.