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Measles Contact Investigation Outcome Reporting Form – Air

IC 279579 under ICR 202603-0920-009 · OMB 0920-0488.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Measles Contact Investigation Outcome Reporting Form – Air 0920-26-0140
 
No New
 
Mandatory
 
42 CFR 70 42 CFR 71

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-26-0140 Measles Aircraft Contact Investigation Outcome Reporting Form Attachment H-Measles Aircraft Contact Investigation Outcome Reporting Form.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

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

72 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 72 0 12 60 0 0
Annual IC Time Burden (Hours) 6 0 1 5 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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