Information Collection

Domestic TB Manifest Template or Informal Manifest Request

IC 241339 under ICR 202403-0920-010 · OMB 0920-1181.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1181 Domestic TB Manifest Template or Informal Manifest Request	Form and Instruction
0920-1181 Domestic Manifest Template Attachment 5_Domestic_Manifest_Order_OMB 0920-1181.docx	Form and Instruction
0920-1181 Domestic Manifest Template Attachment 5_Domestic_Manifest_Order_OMB 0920-1181.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

0920-1181

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	0920-1181	Domestic Manifest Template	Attachment 5_Domestic_Manifest_Order_OMB 0920-1181.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	500	498	2
Annual IC Time Burden (Hours)	3,000	2,988	12
Annual IC Cost Burden (Dollars)	0	0	0

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.