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NHP Shipment Arrival Notification Form
[NCEZID] Importation Regulations (42 CFR 71 Subpart F)
OMB: 0920-1383
IC ID: 253388
OMB.report
HHS/CDC
OMB 0920-1383
ICR 202301-0920-010
IC 253388
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1383 can be found here:
2024-06-05 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-22BY
NHP Shipment Arrival Notification Form
Form and Instruction
Form 0920-22BY
NHP Shipment Arrival Notification Form
Form and Instruction
0920-22BY NHP Shipment Arrival Notification Form
Attachment D_NHP Shipment Arrival Notification Form.docx
Form and Instruction
0920-22BY NHP Shipment Arrival Notification Form
Attachment D_NHP Shipment Arrival Notification Form.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NHP Shipment Arrival Notification Form
Agency IC Tracking Number:
0920-22BY
Is this a Common Form?
No
IC Status:
Unchanged
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
0920-22BY
NHP Shipment Arrival Notification Form
Attachment D_NHP Shipment Arrival Notification Form.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Quarantine-and-Traveler-Related Activities
FR Citation:
83 FR 6591
Number of Respondents:
120
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
120
0
0
0
0
120
Annual IC Time Burden (Hours)
30
0
0
0
0
30
Annual IC Cost Burden (Dollars)
0
0
0
0
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.