Maritime Conveyance Operators

Foreign Quarantine Regulations

OMB: 0920-0134

IC ID: 6646

Information Collection (IC) Details

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Maritime Conveyance Operators
 
No Unchanged
 
Mandatory
 
42 CFR Subpart C  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none 71.21 (a) Radio Report of Death/Illness Report from Ships Attachment A Maritime Cumulative ILI Form.pdf Yes Yes Fillable Fileable
Form and Instruction 71 Attachment I Maritime Conveyance Cumulative Influenza Influenza-Like Ill... Attachment H Sections 1-3 Maritime Conveyance Illness or Death Investiga....pdf Yes Yes Fillable Fileable

Health Immunization Management

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

2,000 0
   
Private Sector Businesses or other for-profits
 
   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 2,000 0 0 0 0 2,000
Annual IC Time Burden (Hours) 67 0 0 0 0 67
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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