OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

EVD Initial Screening Questions

IC 256311 under ICR 202210-0920-009 · OMB 0920-1375.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

EVD Initial Screening Questions
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA INITIAL EBOLA SCREENING SCRIPT 0920-1375 Change Request-2022 Ebola Airport Entry Questionnaires_10.14.2022_final.docx NA No   Paper Only

Health Illness Prevention

09-20-0171 - Quarantine- and Traveler-Related Activities  83 FR 6591

53,655 0
   
Individuals or Households
 
   0 %

  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 53,655 0 0 0 0 53,655
Annual IC Time Burden (Hours) 4,471 0 0 0 0 4,471
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screening Script and SOP Attachment G - Screening Script and SOP_clean_for OMB_10.14.2022_final.docx 10/19/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.