Cumulative Influenza/Influenza-Like Illness (ILI) Form
Foreign Quarantine Regulations (42CFR71)
Attachment E - Maritime Conveyance Cumulative Influenza or Influenza-Like Illness (ILI) Form
Cumulative Influenza/Influenza-Like Illness (ILI) Form
OMB: 0920-0134
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0134 can be found here:
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