Information Collection

42CFR71.33(c) Report by Persons in Isolation or Surveillance ((no form))

IC 189692 under ICR 202603-0920-008 · OMB 0920-0134.

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Information Collection (IC) Details

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IC Title:	42CFR71.33(c) Report by Persons in Isolation or Surveillance ((no form))	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 71.33(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Quarantine and Traveler-Related Activities, Including Records for Contact, Tracing, Investigation and Notification under 42 CFR Parts 70 and 71	FR Citation: 72 FR 70867

Number of Respondents: 11	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-11	11
Annual IC Time Burden (Hours)	-1	1
Annual IC Cost Burden (Dollars)	-24	24

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