42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel

Report of Illness or Death: Interstate Travel of Persons (42 CFR part 70)

OMB: 0920-0488

IC ID: 205723

Information Collection (IC) Details

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42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0488 42 CFR 70.4 - Report by the master of a vessel or person in charge of conveyance of the incidence of a communicable disease occurring while in interstate travel Attachment 6 Master of Vessel or Conveyance Illness Report 101712 (1).doc NA Yes Yes Fillable Fileable

Health Public Health Monitoring

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

10 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 10 0 -190 0 0 200
Annual IC Time Burden (Hours) 1 0 -22 0 0 23
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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