Attachment 5f. Last Symptom Check and Return to Work Clearance
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
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | NCEH/ATSDR Office of Science |
File Modified | 0000-00-00 |
File Created | 2023-08-23 |