Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form (submitted once per voyage, within 24 hours before arrival in U.S.)

[NCEZID] Phased Approach to the Resumption of Cruise Ship Passenger Operations

OMB: 0920-1335

IC ID: 246878

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Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form (submitted once per voyage, within 24 hours before arrival in U.S.) 0920-1335
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form None Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form Attachment H_ARI reporting_6.2.2023-clean.docx Yes Yes Fillable Fileable
Form 0920-1335 Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form (submitted once per voyage, within 24 hours before arrival in U.S.) AttachmentH_10232023.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

 

100 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,000 0 0 0 0 6,000
Annual IC Time Burden (Hours) 1,000 0 0 0 0 1,000
Annual IC Cost Burden (Dollars) 126,000 0 0 0 0 126,000

Title Document Date Uploaded
June 2023 edits (in tracked changes) to the Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form Attachment H_ARI reporting_6.2.2023-tracked.docx 06/06/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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