Information Collection

Ebola Airline Exposure Assessment Passenger

IC 213429 under ICR 201502-0920-008 · OMB 0920-0900.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0900 can be found here:

Documents and Forms

Document Name Document Type
Ebola Airline Exposure Assessment Passenger Form
Ebola Airline Exposure Assessment Passenger Attachment P Ebola Airline Exposure Assessment Passenger.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Ebola Airline Exposure Assessment Passenger	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	Ebola Airline Exposure Assessment Passenger	Attachment P Ebola Airline Exposure Assessment Passenger.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 340	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	-680	680
Annual IC Time Burden (Hours)	-227	227
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.