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Att E_Application for Permission to Import A Dog Inadequately Immunized Against Rabies
Foreign Quarantine Regulations (42CFR71)
OMB: 0920-0134
IC ID: 212099
OMB.report
HHS/CDC
OMB 0920-0134
ICR 201608-0920-009
IC 212099
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0134 can be found here:
2023-05-12 - No material or nonsubstantive change to a currently approved collection
2022-03-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form CDC Form 71.51(c)(
Att E_Application for Permission to Import A Dog Inadequately Immunized Against Rabies
Form
CDC Form 71.51(c ) Application for Permission to Import a Dog Inadequately
Att E_Application for Permission to Import an Inadequately Immunized Dog.pdf
Form
CDC Form 71.51(c)( Application for a Permit to Import A Dog Inadequately Im
Att E_Application for a Permit to Import A Dog Inadequately Immunized Against Rabies (rev. 082016).pdf
Form
Att F_Permit to Conditionally Import a Dog Inadequately Immunized against Rabies - Single Entry.pdf
Att F_ Permit to Conditionally Import a Dog Inadequately Immunized agains Rabies
IC Document
Att O Guidance to Import a Dog Inadequately Vaccinated Against Rabies (rev. 082016).docx
Att O_Guidance Document
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Att E_Application for Permission to Import A Dog Inadequately Immunized Against Rabies
Agency IC Tracking Number:
16BAR
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CDC Form 71.51(c)(2)(d) rev082016
Application for a Permit to Import A Dog Inadequately Immunized Against Rabies
Att E_Application for a Permit to Import A Dog Inadequately Immunized Against Rabies (rev. 082016).pdf
Yes
Yes
Fillable Printable
Form
CDC Form 71.51(c )(2)(d)
Application for Permission to Import a Dog Inadequately Immunized Against Rabies
Att E_Application for Permission to Import an Inadequately Immunized Dog.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
95 %
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
1,400
0
0
0
0
1,400
Annual IC Time Burden (Hours)
350
0
0
0
0
350
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att F_ Permit to Conditionally Import a Dog Inadequately Immunized agains Rabies
Att F_Permit to Conditionally Import a Dog Inadequately Immunized against Rabies - Single Entry.pdf
10/29/2015
Att O_Guidance Document
Att O Guidance to Import a Dog Inadequately Vaccinated Against Rabies (rev. 082016).docx
08/15/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.