Cumulative Influenza/Influenza-Like Illness (ILI) Form

Foreign Quarantine Regulations (42CFR71)

OMB: 0920-0134

IC ID: 234012

Documents and Forms

Document Name Document Type
Cumulative Influenza/Influenza-Like Illness (ILI) Form Form and Instruction
Cumulative Influenza/Influenza-Like Illness (ILI) Form Form and Instruction
Cumulative Influenza/Influenza-Like Illness (ILI) Form Attachment E - Maritime Conveyance Cumulative Influenza or Influenza-Like Illness (ILI) Form.pdf Form and Instruction