42 CFR 70.5 Application to Move from State to State - Communicable Period - Attending Physician

Restrictions on Interstate Travel of Persons

OMB: 0920-0488

IC ID: 185659

Information Collection (IC) Details

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42 CFR 70.5 Application to Move from State to State - Communicable Period - Attending Physician
 
No Removed
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Restriction on Travel of Persons Attachment 3 Ill Person Travel Permit_Added.doc Yes Yes Fillable Fileable

Health Immunization Management

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

3,750 0
   
Private Sector Businesses or other for-profits
 
   98 %

  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 0 0 -3,750 0 0 3,750
Annual IC Time Burden (Hours) 0 0 -938 0 0 938
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SORN 09-20-0171 09-20-0171.pdf 06/25/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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