OMB control number

Emergency Submission to Supplement OMB Control Number 0920-0821 in the context of Screening Travelers for Ebola Risk

OMB 0920-1031 · HHS/CDC.

OMB 0920-1031

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-1031 Attachment A3 DHS Form United States Traveler Health Dec - ArabicForm and Instruction
Form 0920-1031 Attachment A2 DHS Form United States Traveler Health Dec - FrenchForm and Instruction
Form 0920-1031 Attachment A1b DHS Form United States Traveler Health Dec - electronic portal screenshotForm and Instruction
Form 0920-1031 Attachment A1a DHS Form United States Traveler Health Declaration - EnglishForm and Instruction
Form 0920-1031 Attachment A1c DHS Form United States Traveler Health Declaration - fillable PDFForm and Instruction
Form 0920-1031 Attachment B2 CDC Form EbolaRiskAssessment - FrenchForm and Instruction
Form 0920-1031 Attachment B1 CDC Form Ebola Risk Assessment - EnglishForm and Instruction
Risk Assessment for Travelers from Ebola outreak-affected countriesForm and Instruction
United States Traveler Health DeclarationForm and Instruction
United States Traveler Health Declaration - EnglishForm and Instruction
Non-substantive Change 0920-1031 Em Change Supplment to 0821_Entry Screening - final.docx Justification for No Material/Nonsubstantive Change
USCODE-2009-title42-chap6A-subchapII-partG.pdf Supplementary Document
Attachment B DHS JobAid.docx Supplementary Document
0920-0821 Emergency Request Entry Screening Part B.docxSupporting Statement B
0920-0821 Emergency Request Entry Screening Part A.docSupporting Statement A
United States Travel Health Declaration (Arabic: Hard Copy) Form and Instruction
United States Travel Health Declaration (French, Hard copy) Form and Instruction
United States Travel Health Declaration (English:hard copy, fillable PDF, electonic Portal) Form and Instruction
United States Travel Health Declaration (English:hard copy, fillable PDF, electonic Portal) Form and Instruction
United States Travel Health Declaration (English:hard copy, fillable PDF, electonic Portal) Form and Instruction
Ebola Risk Assessment for Travelers from Outbreak-affected Countries (French) Form and Instruction
Ebola Risk Assessment for Travelers from Outbreak-affected Countries (English) Form and Instruction
Risk Assessment for Travelers from Ebola outreak-affected countries Form and Instruction
United States Traveler Health Declaration - French Form and Instruction
United States Traveler Health Declaration - English Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201411-0920-008 No material or nonsubstantive change to a currently approved collection 2014-11-19 Approved without change
201410-0920-017 New collection (Request for a new OMB Control Number) 2014-10-10 Approved without change