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United States Traveler Health Declaration - English/Port
Quarantine Station Illness Response Forms: Airline, Maritime, and Land/Border Crossing
Attachment F1b United States Traveler Health Declaration - Portal.png
United States Traveler Health Declaration - ENGLISH
OMB: 0920-0821
OMB.report
HHS/CDC
OMB 0920-0821
ICR 201502-0920-002
IC 214888
United States Traveler Health Declaration - English/Port
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0821 can be found here:
2016-03-01 - Revision of a currently approved collection
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