Information Collection

United States Travel Health Declaration for Repatriation from Ship

IC 240642 under ICR 202003-0920-007 · OMB 0920-1287.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1287 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-20HF United States Travel Health Declaration for Repatriation from Ship Form and Instruction
0920-20HF US Traveler Health Declaration Repatriation from Ship Attachment H COVID-2019 US Traveler Health Declaration Repatriation-Ship_2.15.2020.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	United States Travel Health Declaration for Repatriation from Ship	Agency IC Tracking Number:	0920-20HF

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-20HF	US Traveler Health Declaration Repatriation from Ship	Attachment H COVID-2019 US Traveler Health Declaration Repatriation-Ship_2.15.2020.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	2,500	2,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.