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

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

0920-20ML

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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 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 %

table that charts list of burden
	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

table that charts IC Documents
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.