Information Collection

Request dor Humanitarian Exception – (No form)

IC 257663 under ICR 202212-0920-017 · OMB 0920-1380.

Documents and Forms

Document Name Document Type
Request dor Humanitarian Exception – (No form) Form and Instruction
Request dor Humanitarian Exception – (No form) Form and Instruction
Information Needed to Process Humanitarian Testing Excep Attachment D-Information Needed to Apply for Humanitarian Exception to Testing Requirement-PRC.pdf Form and Instruction
Information Needed to Process Humanitarian Testing Excep Attachment D-Information Needed to Apply for Humanitarian Exception to Testing Requirement-PRC.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request dor Humanitarian Exception â (No form)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Information Needed to Process Humanitarian Testing Exception	Attachment D-Information Needed to Apply for Humanitarian Exception to Testing Requirement-PRC.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: 09-20-0171 - Quarantine- and Traveler-Related Activies	FR Citation: 72 FR 70867

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.