Application for Special Exemption for a Permitted Dog Import

[NCEZID] Importation Regulations (42 CFR 71 Subpart F)

Documents and Forms

Document Name Document Type
Form CS331603-A Application for Special Exemption for a Permitted Dog Import Form and Instruction
Form CS331603-A Application for Special Exemption for a Permitted Dog Import Form and Instruction
CS331603-A Application for Special Exemption for a Permitted Dog Im Attachment 5_Application for Special Exemption for a Permitted Dog Import.pdf Form and Instruction
CS331603-A Application for Special Exemption for a Permitted Dog Im Attachment 5_Application for Special Exemption for a Permitted Dog Import.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Special Exemption for a Permitted Dog Import	Agency IC Tracking Number:	0920-1383

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CS331603-A	Application for Special Exemption for a Permitted Dog Import	Attachment 5_Application for Special Exemption for a Permitted Dog Import.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Quarantine- and Traveler-Related Activities	FR Citation: 83 FR 6591

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15,000	-45,000	60,000
Annual IC Time Burden (Hours)	15,000	-45,000	60,000
Annual IC Cost Burden (Dollars)	0	0	0

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.