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Application for Permission to Import A Dog Inadequately Immunized Against Rabies
Foreign Quarantine Regulations (42CFR71)
OMB: 0920-0134
IC ID: 212099
OMB.report
HHS/CDC
OMB 0920-0134
ICR 202009-0920-024
IC 212099
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0134 can be found here:
2023-05-12 - No material or nonsubstantive change to a currently approved collection
2022-03-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Application for Permission to Import A Dog Inadequately Immunized Against Rabies
Form and Instruction
Permit to Conditionally Import a Dog Inadequately Immuni
Attachment H Permit to Conditionally Import a Dog Inadequately Immunized....pdf
Form and Instruction
Application for Permit to Import Dog Inadequately Immuni
Attachment 1 - Dog Import Permit.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Permission to Import A Dog Inadequately Immunized Against Rabies
Agency IC Tracking Number:
16BAR
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
42 CFR 71
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
none
Permit to Conditionally Import a Dog Inadequately Immunized against Rabies - Single Entry
Attachment H Permit to Conditionally Import a Dog Inadequately Immunized....pdf
Yes
Yes
Fillable Fileable
Form and Instruction
none
Application for Permit to Import Dog Inadequately Immunized Against Rabies
Attachment 1 - Dog Import Permit.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Quarantine- and Traveler-Related Activities, Including Records for Contact Tracing Investigation
FR Citation:
72 FR 7086
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
95 %
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
50
0
0
0
0
50
Annual IC Time Burden (Hours)
38
0
0
0
0
38
Annual IC Cost Burden (Dollars)
925
0
0
0
0
925
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.