Information Collection

Application for Permission to Import A Dog Inadequately Immunized Against Rabies

IC 212099 under ICR 202111-0920-018 · OMB 0920-0134.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0134 can be found here:

Documents and Forms

Documents and forms in this information collection
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
Permit to Conditionally Import a Dog Inadequately Immuni Attachment H Permit to Conditionally Import a Dog Inadequately Immunized....pdf	Form and Instruction
0920-22AU Application for Permit to Import Dog Inadequately Immuni Attachment 1 - Dog Import Permit.pdf	Form and Instruction
0920-22AU Application for Permit to Import Dog Inadequately Immuni Attachment 1 - Dog Import Permit.pdf	Form and Instruction
0920-0134 Application for Special Exemption for a Permitted Dog Im 21_325260_A_DogPermitExempt_drops3.pdf	Form and Instruction
0920-0134 Application for Special Exemption for a Permitted Dog Im 21_325260_A_DogPermitExempt_drops3.pdf	Form and Instruction
Mock pet passport issued by CDC for dog permit entry.docx Mock pet passport issued by CDC for dog permit entry	IC Document
Mock pet passport issued by CDC for dog permit entry.docx Mock pet passport issued by CDC for dog permit entry	IC Document
0920-0134_Non-sub change request_Dog Permit.docx Change Request	IC Document
0920-0134_Non-sub change request_Dog Permit.docx Change Request	IC Document

IC Title:

Application for Permission to Import A Dog Inadequately Immunized Against Rabies

Agency IC Tracking Number:

0920-22AU

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 71

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	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	0920-22AU	Application for Permit to Import Dog Inadequately Immunized Against Rabies	Attachment 1 - Dog Import Permit.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	0920-0134	Application for Special Exemption for a Permitted Dog Import	21_325260_A_DogPermitExempt_drops3.pdf	NA	Yes	Yes	Fillable Fileable

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: 60,696

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	60,696	60,696
Annual IC Time Burden (Hours)	60,696	60,696
Annual IC Cost Burden (Dollars)	2,858,782	2,858,782

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mock pet passport issued by CDC for dog permit entry	Mock pet passport issued by CDC for dog permit entry.docx	11/18/2021
Change Request	0920-0134_Non-sub change request_Dog Permit.docx	11/18/2021

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