Information Collection

Travelers Health - Travel Industry (NCEZID)

IC 228742 under ICR 201611-0920-005 · OMB 0920-1158.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1158 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	795	795

Documents for IC

table that charts IC Documents
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.