Influenza-like Illness Investigation Outcome Reporting Form - Maritime

Contact Investigation Outcome Reporting Forms

OMB: 0920-0900

IC ID: 231143

Information Collection (IC) Details

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Influenza-like Illness Investigation Outcome Reporting Form - Maritime
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a ILI Outbreak Enhanced Data Collection Att. F_ ILI Outbreak EDC_08 10 18.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Quarantine- and Traveler-Related Activities, Including Records for Contact Tracing Investigations  72 FR 7086

30 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 30 0 -15 0 0 45
Annual IC Time Burden (Hours) 10 0 -5 0 0 15
Annual IC Cost Burden (Dollars) 374 0 -187 0 0 561

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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