Information Collection

Travelers Health with Travelers (NCEZID)

IC 229049 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⚠️ Notice: This information collection may be referencing outdated material.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 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

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:

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	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 %

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)	597	597

Documents for IC

table that charts IC Documents
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.