Record of Sickness or Death

Importation Regulations (42 CFR 71 Subpart F)

Record of Sickness or Death

OMB: 0920-1383

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Form
OMB Control No. 0920-XXXX
Expiration Date: XX/XX/XXXX







Public reporting burden of this collection of information is estimated to average 60 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data 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 Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30329; ATTN: PRA 0920-XXXX.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJoyce, Kevin J. (CDC/DDPHSS/OS/OSI)
File Modified0000-00-00
File Created2023-08-30

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