Information Collection

Pre-embarkation Certificate of Disinsection

IC 228841 under ICR 202402-0704-011 · OMB 0704-0568.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD 3044 Pre-embarkation Certificate of Disinsection	Form and Instruction
Form DD 3044 Pre-embarkation Certificate of Disinsection Pre-embarkation Certificate of Disinsection	Form and Instruction
DD 3044 Pre-embarkation Certificate of Disinsection dd3044.pdf	Form and Instruction
DD 3044 Pre-embarkation Certificate of Disinsection dd3044.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

0704-AALH

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD 3044				Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,000	0	1,000
Annual IC Time Burden (Hours)	167	0	167
Annual IC Cost Burden (Dollars)	2,532	402	2,130

Documents for IC

table that charts IC Documents
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.

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