COVID-2019 Supplemental Questionnaire

Foreign Quarantine Regulations (42CFR71)

OMB: 0920-0134

IC ID: 243826

Information Collection (IC) Details

View Information Collection (IC)

COVID-2019 Supplemental Questionnaire 0920-0134-20SL
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0134 Supplemental COVID-2019 Questionnaire Attachment B Supplemental COVID-2019 Questionnaire 9.23.2020 clean.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

2,300 0
   
Individuals or Households
 
   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 2,300 0 2,300 0 0 0
Annual IC Time Burden (Hours) 192 0 192 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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