Information Collection

Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting

IC 256626 under ICR 202210-0920-014 · OMB 0920-1376.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1376 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting	Form and Instruction
Risk Assessment and Post-Arrival Monitoring Outcome Repo Attachment C-Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting .docx	Form and Instruction

IC Title:

Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Risk Assessment and Post-Arrival Monitoring Outcome Reporting Process for Persons with Travel History from Uganda	Attachment C-Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting .docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18,200	18,200
Annual IC Time Burden (Hours)	4,550	4,550
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.