Record of Sickness or Death

Importation Regulations (42 CFR 71 Subpart F)

OMB: 0920-1383

IC ID: 253392

Documents and Forms
Document Name
Document Type
Other-Header and Burden Statement
Other-Header and Burden Statement
Information Collection (IC) Details

View Information Collection (IC)

Record of Sickness or Death 0920-22BY
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Header and Burden Statement Record of Sickness or Death.docx No   Fillable Fileable

Health Public Health Monitoring

Quarantine-and-Traveler-Related Activities  83 FR 6591

43 0
   
Individuals or Households
 
   100 %

  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 43 0 43 0 0 0
Annual IC Time Burden (Hours) 43 0 43 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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