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Cruise Ship Brand/Operator - Agreement with Housing Facility with signoff from Local Health Authorities
[NCEZID] Phased Approach to the Resumption of Cruise Ship Passenger Operations
OMB: 0920-1335
IC ID: 246885
OMB.report
HHS/CDC
OMB 0920-1335
ICR 202310-0920-011
IC 246885
( )
Documents and Forms
Document Name
Document Type
ROCIS - Agreement with HF and LHA.docx
Instruction
ROCIS - Agreement with HF and LHA.docx
Instruction
0920-1335 Attachment O_Agreement with Housing Facility
Attachment O_Agreement with Housing Facility.docx
Form
0920-1335 Attachment O_Agreement with Housing Facility
Attachment O_Agreement with Housing Facility.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Cruise Ship Brand/Operator - Agreement with Housing Facility with signoff from Local Health Authorities
Agency IC Tracking Number:
0920-1335
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
ROCIS - Agreement with HF and LHA.docx
Yes
Yes
Fillable Fileable
Form
0920-1335
Attachment O_Agreement with Housing Facility
Attachment O_Agreement with Housing Facility.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
30
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
30
0
0
0
0
30
Annual IC Time Burden (Hours)
300
0
0
0
0
300
Annual IC Cost Burden (Dollars)
25,203
0
0
0
0
25,203
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.