Information Collection

Cruise Ship Physician - Enhanced Data Collection (EDC) During COVID-19 Pandemic Form (Daily)

IC 246878 under ICR 202303-0920-003 · OMB 0920-1335.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1335 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1335 Cruise Ship Physician - Enhanced Data Collection (EDC) During COVID-19 Pandemic Form (Daily) Form
0920-1335 Attachment H_Enhanced Data Collection During COVID Attachment H_Enhanced Data Collection During COVID-19 Pandemic Form.docx Form
0920-1335 Attachment H_Enhanced Data Collection During COVID Attachment H_Enhanced Data Collection During COVID-19 Pandemic Form.docx Form
0920-1335 Enhanced Data Collection (EDC) Form Enhanced Data Collection During COVID-19_Daily_clean_Final_3.7.23.docx Form
0920-1335 Enhanced Data Collection (EDC) Form Enhanced Data Collection During COVID-19_Daily_clean_Final_3.7.23.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Cruise Ship Physician - Enhanced Data Collection (EDC) During COVID-19 Pandemic Form (Daily)	Agency IC Tracking Number:	0920-1335

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-1335	Attachment H_Enhanced Data Collection During COVID	Attachment H_Enhanced Data Collection During COVID-19 Pandemic Form.docx		Yes	Yes	Fillable Fileable
Form	0920-1335	Enhanced Data Collection (EDC) Form	Enhanced Data Collection During COVID-19_Daily_clean_Final_3.7.23.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 130	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	47,450	47,450
Annual IC Time Burden (Hours)	15,817	15,817
Annual IC Cost Burden (Dollars)	996,450	996,450

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.