Information Collection

Application for Special Exemption for a Permitted Dog Import

IC 253387 under ICR 202601-0920-009 · OMB 0920-1383.

Documents and Forms

Documents and forms in this information collection
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 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

IC Title:

Agency IC Tracking Number:

0920-1383

Is this a Common Form? No

IC Status: Unchanged

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	CS331603-A				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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	15,000	15,000
Annual IC Cost Burden (Dollars)	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.

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