Information Collection

Cruise Ship General Outcome Reporting -Maritime (Word & Excel)

IC 197944 under ICR 201802-0920-005 · OMB 0920-0900.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0900 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Cruise Ship General Outcome Reporting -Maritime (Word & Excel)	Form
General Reporting Maritime (Excel) Attachment E - General Contact Investigation Outcome Reporting Form - Ma....xlsx	Form
General Reporting Maritime (Word) Attachment D - General Contact Investigation Outcome Reporting Form - Ma....docx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Cruise Ship General Outcome Reporting -Maritime (Word & Excel)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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	none	General Reporting Maritime (Excel)	Attachment E - General Contact Investigation Outcome Reporting Form - Ma....xlsx		Yes	Yes	Fillable Fileable
Form	none	General Reporting Maritime (Word)	Attachment D - General Contact Investigation Outcome Reporting Form - Ma....docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 0920-0171 Quarantine and Traveler Related Activities, Including Records for Cpmtact Tracing Investigation and Notification under 42 CFR Parts 70 and 71

FR Citation: 72 FR 70867

Number of Respondents: 200

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-200	200
Annual IC Time Burden (Hours)	-17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.