Travelers Health with Travelers (NCEZID)

CDC I-Catalyst Program

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Travelers Health with Travelers (NCEZID) Form and Instruction
Interview Guide CDC I-Catalyst Interview Guide _Questions Travelers Health - Travelers.docx Form and Instruction
I-Catalyst Template_NCEZID Travelers Health 11-13-2017 Travelers.docx I-Catalyst Template IC Document
ICatalyst Supporting Statements A Travelers Health - Travelers.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Travelers Health with Travelers (NCEZID)	Agency IC Tracking Number:	0920-18FN

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	Interview Guide	CDC I-Catalyst Interview Guide _Questions Travelers Health - Travelers.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: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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)	597	597

Documents for IC

Title	Document	Date Uploaded
I-Catalyst Template	I-Catalyst Template_NCEZID Travelers Health 11-13-2017 Travelers.docx	11/21/2017
Supporting Statement	ICatalyst Supporting Statements A Travelers Health - Travelers.docx	11/21/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.