Information Collection

General Maritime Contact Investigation Outcome Reporting Form

IC 279768 under ICR 202603-0920-015 · OMB 0920-1335.

Documents and Forms

Document Name Document Type
General Maritime Contact Investigation Outcome Reporting Worksheet General Maritime Contact Investigation Outcome Reporting Form Form and Instruction
General Maritime Contact Investigation Outcome Reporting Attachment G - General Maritime Contact Investigation Outcome Reporting Worksheet_1335_f.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	General Maritime Contact Investigation Outcome Reporting Form	Agency IC Tracking Number:	0920-26-0163

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	General Maritime Contact Investigation Outcome Reporting Worksheet	Attachment G - General Maritime Contact Investigation Outcome Reporting Worksheet_1335_f.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: Quarantine and Travel Related Activities, Including Records for Contact Tracing	FR Citation: 72 FR 239

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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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