Form 0920-1260 Three-day Pre-embarkation AGE Illness Assessment (all cr

Attachment 5c. Three-day Pre-embarkation AGE Illness Assessment

Form Approved

OMB No. 0920-1260

Exp. Date 04/30/2022

CDC estimates the average reporting burden for this collection of information as three minutes per response, including the time for reviewing instructions, searching existing data/information sources, gathering, and maintaining the data/information needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road, NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-1260).

The Vessel Sanitation Program does not require a standard form for this information; however, the requirement to collect and maintain this information is documented in the Vessel Sanitation Program 2018 Operations Manual.

Source: Vessel Sanitation Program 2018 Operations Manual