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

Contact Investigation Outcome Reporting Forms

OMB: 0920-0900

IC ID: 212221

Information Collection (IC) Details

View Information Collection (IC)

Cruise Ship Measles Outcome Reporting - Maritime (Word & Excel)
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Measles Maritime (Word) Attachment K - Measles Contact Investigation Outcome Reporting Form - Ma....docx Yes Yes Fillable Fileable
Form none Measles Maritime (Excel) Attachment L - Measles Contact Investigation Form - Maritime.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

Quarantine and Traveler-Related Activities, Including Records for Contact Tracing, Investigation, and Notification under 42 CFR Parts 70 and 71  72 FR 70867

126 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 -126 0 0 126
Annual IC Time Burden (Hours) 0 0 -11 0 0 11
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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