Information Collection Request

ICR 202310-0920-011 · OMB 0920-1335 · Public filing

⚠️ Notice: This information collection may be outdated.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

2026-04-14 - Reinstatement with change of a previously approved collection

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form 0920-1335 Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (submitted sooner than 24 hours before arrival in U.S because 3% or more of the voyage’s passengers or crew have ARI)	Form	New	Available
Form 0920-1335 Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (submitted sooner than 24 hours before arrival in U.S because 3% or more of the voyage's passengers or crew have ARI)	Form	New	Repair queued
Form 0920-1335 Attachment E_Notice of Participation-Nonparticipation	Form	Unchanged	Available
Form 0920-1335 COVID-19 Program for Cruise Ships Notice of Participation/Nonparticipation	Form	Unchanged	Repair queued
Form 0920-1335 Attachment F_Cruise Ship Vaccination Status Classification	Form	Unchanged	Repair queued
Form 0920-1335 Cruise Ship Vaccination Status Classification	Form	Unchanged	Repair queued
Form 0920-1335 Attachment L_Cruise COVID19 Contact Investigation Worksheet	Form	Unchanged	Available
Form 0920-1335 Cruise Ship Physician - COVID-19 Contact Investigation Worksheet (if necessary)	Form	Unchanged	Repair queued
Form 0920-1335 Attachment K_Cruise COVID19 Case Investigation Worksheet	Form	Unchanged	Available
Form 0920-1335 COVID-19 Case Investigation worksheet	Form	Unchanged	Available
Form 0920-1335 Cruise Ship Physician - COVID-19 Case Investigation Worksheet (if necessary)	Form	Unchanged	Repair queued
Form 0920-1335 Attachment O_Agreement with Housing Facility	Form	Unchanged	Available
Form 0920-1335 Attachment M_Agreement with Port of Entry	Form	Unchanged	Available
Form 0920-1335 Attachment N_Agreement with Health Care Organization	Form	Unchanged	Repair queued
Form 0920-1335 Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form (submitted once per voyage, within 24 hours before arrival in U.S.)	Form	Modified	Available
Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form	Form	Modified	Available
Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form (submitted once per voyage, within 24 hours before arrival in U.S.)	Form	Modified	Repair queued
0920-1335 Change Justification_2023 10 23_clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-10-27	Repair queued
0920-1335 Change Justification_6.6.2023.docx	Supplementary Document	Uploaded 2023-06-06	Repair queued
Non-Sub Change 0920-1335 EDC Update-Final_3.7.23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-03-08	Available
Attachment J_Maritime Conveyance Illness or Death Investigation Form.pdf	Supplementary Document	Uploaded 2022-03-15	Repair queued
Attachment I_Maritime Conveyance Cumulative Influenza_Influenza-Like Illness (ILI) Form.pdf	Supplementary Document	Uploaded 2022-03-15	Repair queued
Attachment R_CSO Partner Survey.docx	Supplementary Document	Uploaded 2022-03-15	Repair queued
Attachment S_Not Research Determination.pdf	Supplementary Document	Uploaded 2022-03-15	Repair queued
Attachment G_COVID19 Response Plan.docx	Supplementary Document	Uploaded 2022-03-15	Available
Attachment F_Cruise Ship Vaccination Status Classification.docx	Supplementary Document	Uploaded 2022-03-15	Repair queued
Attachment E_Notice of Participation-Nonparticipation.docx	Supplementary Document	Uploaded 2022-03-15	Repair queued
Attachment D_Temporary Extension and Modification of Framework for Conditional Sailing Order.pdf	Supplementary Document	Uploaded 2022-03-15	Repair queued
Attachment C_Framework for Conditional Sailing Order 11.4.2020.pdf	Supplementary Document	Uploaded 2022-03-15	Repair queued
Attachment B_60-Day FRN 4.30.2021.pdf	Supplementary Document	Uploaded 2022-03-15	Repair queued
Attachment A3_42 CFR part 71.docx	Supplementary Document	Uploaded 2022-03-15	Repair queued
Attachment A2_42 CFR 70.docx	Supplementary Document	Uploaded 2022-03-15	Available
Attachment A1_Public Health Service (PHS) Act (42 USC 264).pdf	Supplementary Document	Uploaded 2022-03-15	Repair queued
Emergency Review Request Memo - CSO Extension 10.27.21.pdf	Supplementary Document	Uploaded 2021-10-27	Repair queued
Attachment BB_Not Research Determination.pdf	Supplementary Document	Uploaded 2021-10-27	Repair queued
Attachment D_Response to Public Comment.docx	Supplementary Document	Uploaded 2021-10-27	Repair queued
Attachment C_Public Comments.pdf	Supplementary Document	Uploaded 2021-10-27	Repair queued
60d FRN published.pdf	Supplementary Document	Uploaded 2021-10-27	Repair queued
Attachment E_CSO-Extension.pdf	Supplementary Document	Uploaded 2021-10-27	Repair queued
Suporting Statement B_0920-1335_CDC COVID19 Program for Cruise Ships Operating in U.S. Waters_2.9.2022.docx	Supporting Statement B	Uploaded 2022-03-15	Repair queued
Non-Sub Change 0920-1335 Conditional Sail Order Forms-8.10.2021.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-08-12	Available
Non-Sub Change 0920-1335 Conditional Sail Order forms 05.20.21 (1).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-05-26	Available
Dear Cruise Line Colleague Letter Announcing Phases 2B and 3 (005).pdf	Supplementary Document	Uploaded 2021-05-26	Repair queued
Non-Sub Change 0920-1335 Conditional Sail Order forms_ (003).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-05-05	Repair queued
ZA24_TI for Simulated Voyages_5.4.2021.docx	Supplementary Document	Uploaded 2021-05-05	Available
ZA24_Operations Manual for COVID-19 Prevention and Control_5.4.2021.docx	Supplementary Document	Uploaded 2021-05-05	Repair queued
Attachment O Request for Information FRN.pdf	Supplementary Document	Uploaded 2021-04-19	Repair queued
Attachment J. Maritime Conveyance Illness or Death Reporting Form.pdf	Supplementary Document	Uploaded 2021-04-19	Repair queued
Attachment I. Maritime Conveyance Cumulative ILI.pdf	Supplementary Document	Uploaded 2021-04-19	Repair queued
Attachment G. Local Health Authority and Port Agreement Checklist.docx	Supplementary Document	Uploaded 2021-04-19	Repair queued
Attachment E No Sail Order FRN.pdf	Supplementary Document	Uploaded 2021-04-19	Repair queued
Attachment D. Acknowledgement of No Sail Order Response Plan.pdf	Supplementary Document	Uploaded 2021-04-19	Repair queued
Attachment C Framework for Conditional Sail FRN.pdf	Supplementary Document	Uploaded 2021-04-19	Repair queued
A3. 42 CFR part 71.docx	Supplementary Document	Uploaded 2021-04-19	Available
A2. 42 CFR 70.docx	Supplementary Document	Uploaded 2021-04-19	Repair queued
A1. 361 and 365 PHSA.pdf	Supplementary Document	Uploaded 2021-04-19	Repair queued
Supporting Statement A_0920-1335_CDC COVID19 Program for Cruise Ships Operating in U.S. Waters_2.9.2022.docx	Supporting Statement A	Uploaded 2022-03-15	Available

IC Document Collections

Information collection document groups
IC ID	Collection	Type	Status	Form
263080	Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (submitted sooner than 24 hours before arrival in U.S because 3% or more of the voyage's passengers or crew have ARI)	Form	New	Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (submitted sooner than 24 hours before arrival in U.S because 3% or more of the voyage’s passengers or crew have ARI)
263080	Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (submitted sooner than 24 hours before arrival in U.S because 3% or more of the voyage's passengers or crew have ARI)	Form	New
252174	COVID-19 Program for Cruise Ships Notice of Participation/Nonparticipation	Form	Unchanged	Attachment E_Notice of Participation-Nonparticipation
252174	COVID-19 Program for Cruise Ships Notice of Participation/Nonparticipation	Form	Unchanged
252173	Cruise Ship Vaccination Status Classification	Form	Unchanged	Attachment F_Cruise Ship Vaccination Status Classification
252173	Cruise Ship Vaccination Status Classification	Form	Unchanged
248858	Cruise Ship Physician - COVID-19 Contact Investigation Worksheet (if necessary)	Form	Unchanged	Attachment L_Cruise COVID19 Contact Investigation Worksheet
248858	Cruise Ship Physician - COVID-19 Contact Investigation Worksheet (if necessary)	Form	Unchanged
248855	Cruise Ship Physician - COVID-19 Case Investigation Worksheet (if necessary)	Form	Unchanged	Attachment K_Cruise COVID19 Case Investigation Worksheet
248855	Cruise Ship Physician - COVID-19 Case Investigation Worksheet (if necessary)	Form	Unchanged	COVID-19 Case Investigation worksheet
248855	Cruise Ship Physician - COVID-19 Case Investigation Worksheet (if necessary)	Form	Unchanged
246889	Cruise Ship Operator - Remote and In-person Inspections	Instruction	Unchanged
246885	Cruise Ship Brand/Operator - Agreement with Housing Facility with signoff from Local Health Authorities	Form	Unchanged	Attachment O_Agreement with Housing Facility
246885	Cruise Ship Brand/Operator - Agreement with Housing Facility with signoff from Local Health Authorities	Instruction	Unchanged
246884	Cruise Ship Operator - Agreement with Port of Entry with signoff from Local Health Authority	Form	Unchanged	Attachment M_Agreement with Port of Entry
246884	Cruise Ship Operator - Agreement with Port of Entry with signoff from Local Health Authority	Instruction	Unchanged
246883	Cruise Ship Brand/Operator - Agreement with Health Care Organization with signoff from Local Health Authorities	Form	Unchanged	Attachment N_Agreement with Health Care Organization
246883	Cruise Ship Brand/Operator - Agreement with Health Care Organization with signoff from Local Health Authorities	Instruction	Unchanged
246878	Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form (submitted once per voyage, within 24 hours before arrival in U.S.)	Form	Modified	Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form (submitted once per voyage, within 24 hours before arrival in U.S.)
246878	Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form (submitted once per voyage, within 24 hours before arrival in U.S.)	Form	Modified	Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form
246878	Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form (submitted once per voyage, within 24 hours before arrival in U.S.)	Form	Modified
246872	Cruise Ship Holding Company - COVID-19 Response Plan	Instruction	Unchanged

ICR Details

Record metadata
OMB Control No	0920-1335