Information Collection

Importer/Filer Documentation of Non-infectiousness

IC 212007 under ICR 201705-0920-008 · OMB 0920-0263.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0263 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 71.53 Importer/Filer Documentation of Non-infectiousness	Form and Instruction
71.53 Documentation of Non-infectiousness Attachment 3 42 CFR 71.53.pdf	Form and Instruction

IC Title:

Importer/Filer Documentation of Non-infectiousness

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	71.53	Documentation of Non-infectiousness	Attachment 3 42 CFR 71.53.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,280

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,280	0	2,280
Annual IC Time Burden (Hours)	190	0	190
Annual IC Cost Burden (Dollars)	8,550	8,550	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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