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Federal forms, ICRs, and supporting documents

Information Collection

Report by the Master of a Vessel or Person in Charge of Conveyance of the Incidence of a Communicable Disease Occurring While in Interstate Travel

IC 279497 under ICR 202603-0920-008 · OMB 0920-0134.

Documents and Forms
Document Name
Document Type
Other-OMB Header and Burden Statemen
Information Collection (IC) Details

View Information Collection (IC)

Report by the Master of a Vessel or Person in Charge of Conveyance of the Incidence of a Communicable Disease Occurring While in Interstate Travel 0920-26-0139
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-OMB Header and Burden Statement OMB Control Header and Burden Statement.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Quarantine and Travel Related Activities, Including Records for Contact Tracing  72 FR 239

100 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   50 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 100 0 100 0 0 0
Annual IC Time Burden (Hours) 12 0 12 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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