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Maritime Conveyance Illness or Death Investigation Form (Section 5)
Foreign Quarantine Regulations (42CFR71)
OMB: 0920-0134
IC ID: 234019
OMB.report
HHS/CDC
OMB 0920-0134
ICR 202305-0920-006
IC 234019
( )
Documents and Forms
Document Name
Document Type
Form 42 CFR 71.21(a)
Maritime Conveyance Illness or Death Investigation Form (Section 5)
Form and Instruction
Form 42 CFR 71.21(a)
Maritime Conveyance Illness or Death Investigation Form (Section 5)
Form and Instruction
42 CFR 71.21(a) Maritime Conveyance Illness or Death Investigation Form (Section 5)
Attachment D - Maritime Conveyance Illness or Death Investigation Form.pdf
Form and Instruction
Information Collection (IC) Details
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