Information Collection

72 Hour Disembarkation Notice to State/Local Health Dept for Crew Repatriation

IC 241453 under ICR 202004-0920-002 · OMB 0920-1292.

Documents and Forms

Document Name Document Type
Form 0920-20ML 72 Hour Disembarkation Notice to State/Local Health Dept for Crew Repatriation Form and Instruction
0920-20ML Cruise Operator NSO Response Plan Completion Template Attachment F Cruise Operator NSO Response Plan Completion Template.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	72 Hour Disembarkation Notice to State/Local Health Dept for Crew Repatriation	Agency IC Tracking Number:	0920-20ML

Is this a Common Form? No		IC Status: New

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	0920-20ML	Cruise Operator NSO Response Plan Completion Template	Attachment F Cruise Operator NSO Response Plan Completion Template.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
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

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.