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Travelers Health - Travel Industry (NCEZID)
CDC I-Catalyst Program
OMB: 0920-1158
IC ID: 228742
OMB.report
HHS/CDC
OMB 0920-1158
ICR 201611-0920-005
IC 228742
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1158 can be found here:
2020-01-28 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Travelers Health - Travel Industry (NCEZID)
Form and Instruction
Travel Industry Interview Protocol Guide and Questions
CDC I-Catalyst Interview Guide _Questions Travelers Health -Travel Indus....docx
Form and Instruction
I-Catalyst Template_NCEZID Travelers Health Industry_10122017.docx
I-Catalyst Template for Travelers Health - Travel Industry
IC Document
ICatalyst Supporting Statements A Team 1 Travelers Health.docx
Supporting Statement A for Travelers Health - Travel Industry
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Travelers Health - Travel Industry (NCEZID)
Agency IC Tracking Number:
0920-18CS
IC Status:
New
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 and Instruction
n/a
Travel Industry Interview Protocol Guide and Questions
CDC I-Catalyst Interview Guide _Questions Travelers Health -Travel Indus....docx
No
Paper Only
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:
50
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
50
0
50
0
0
0
Annual IC Time Burden (Hours)
25
0
25
0
0
0
Annual IC Cost Burden (Dollars)
795
0
795
0
0
0
Documents for IC
Title
Document
Date Uploaded
I-Catalyst Template for Travelers Health - Travel Industry
I-Catalyst Template_NCEZID Travelers Health Industry_10122017.docx
10/23/2017
Supporting Statement A for Travelers Health - Travel Industry
ICatalyst Supporting Statements A Team 1 Travelers Health.docx
10/23/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.