CDC Rabies Vaccination and Microchip Record

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

Documents and Forms

Document Name Document Type
Form CS 336681-A CDC Rabies Vaccination and Microchip Record Form and Instruction
Form CS 336681-A CDC Rabies Vaccination and Microchip Record Form and Instruction
CS 336681-A CDC Rabies Vaccination and Microchip Record Attachment 7_CDC Rabies Vaccination and Microchip Record.pdf Form and Instruction
CS 336681-A CDC Rabies Vaccination and Microchip Record Attachment 7_CDC Rabies Vaccination and Microchip Record.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	CDC Rabies Vaccination and Microchip Record	Agency IC Tracking Number:	0920-1383

Is this a Common Form? No		IC Status: New

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	CS 336681-A	CDC Rabies Vaccination and Microchip Record	Attachment 7_CDC Rabies Vaccination and Microchip Record.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: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	3,750	3,750
Annual IC Cost Burden (Dollars)	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.