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Cruise Ship Brand/Operator - Agreement with Health Care Organization with signoff from Local Health Authorities

IC 246883 under ICR 202603-0920-015 · OMB 0920-1335.

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

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Cruise Ship Brand/Operator - Agreement with Health Care Organization with signoff from Local Health Authorities 0920-1335
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction ROCIS - Agreement with HCO and LHA.docx Yes Yes Fillable Fileable
Form 0920-1335 Attachment N_Agreement with Health Care Organization Attachment N_Agreement with Health Care Organization.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

30 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 0 0 -30 0 30 0
Annual IC Time Burden (Hours) 0 0 -300 0 300 0
Annual IC Cost Burden (Dollars) 0 0 -25,203 0 25,203 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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