Information Collection

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)

IC 263080 under ICR 202310-0920-011 · OMB 0920-1335.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
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
0920-1335 Cruise Ship Physician - Cruise Ship Cumulative Acute Res AttachmentH_10232023.docx Form
0920-1335 Cruise Ship Physician - Cruise Ship Cumulative Acute Res AttachmentH_10232023.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	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)	Agency IC Tracking Number:	0920-1335

Is this a Common Form? No		IC Status: New

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
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 voyageâs passengers or crew have ARI)	AttachmentH_10232023.docx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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 Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	6,300	6,300

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.