Information Collection

Cruise Ship Brand/Operator - Agreement with Housing Facility with signoff from Local Health Authorities

IC 246885 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
ROCIS - Agreement with HF and LHA.docx	Instruction
ROCIS - Agreement with HF and LHA.docx	Instruction
0920-1335 Attachment O_Agreement with Housing Facility Attachment O_Agreement with Housing Facility.docx	Form
0920-1335 Attachment O_Agreement with Housing Facility Attachment O_Agreement with Housing Facility.docx	Form

IC Title:

Cruise Ship Brand/Operator - Agreement with Housing Facility with signoff from Local Health Authorities

Agency IC Tracking Number:

0920-1335

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

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
Instruction			ROCIS - Agreement with HF and LHA.docx		Yes	Yes	Fillable Fileable
Form	0920-1335	Attachment O_Agreement with Housing Facility	Attachment O_Agreement with Housing Facility.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	25,203	25,203

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.