OMB control number

[NCEZID] Maritime-related Public Health Activities

OMB 0920-1335 · HHS/CDC.

OMB 0920-1335

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
General Maritime Contact Investigation Outcome Reporting Worksheet	Form and Instruction
Varicella Outbreak Reporting Form	Form and Instruction
TB Maritime Investigation Worksheet	Form
Maritime Conveyance Illness or Death Investigation Form	Form and Instruction
Maritime Conveyance Illness or Death Investigation Form	Form and Instruction
Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form	Form and Instruction
Form 0920-1335 Attachment E_Notice of Participation-Nonparticipation	Form
Form 0920-1335 Attachment F_Cruise Ship Vaccination Status Classification	Form
Form 0920-1335 Attachment L_Cruise COVID19 Contact Investigation Worksheet	Form
Form 0920-1335 Attachment K_Cruise COVID19 Case Investigation Worksheet	Form
Form 0920-1335 COVID-19 Case Investigation worksheet	Form
Form 0920-1335 Attachment O_Agreement with Housing Facility	Form
Form 0920-1335 Attachment M_Agreement with Port of Entry	Form
Form 0920-1335 Attachment N_Agreement with Health Care Organization	Form
Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form	Form and Instruction
Attachment B2 - 60-day FRN 0920-1335 Notice Public Comment.docx	Public Comments
Attachment I - 0920-1335_NonResearchDetermination_Signed-3.9.2026.pdf	Supplementary Document
Attachment H - QARS_PIA.pdf	Supplementary Document
Attachment B1 - 60-day FRN 0920-1335 Notice (Jan. 15, 2026).pdf	Supplementary Document
SSB_0920-1335Maritime-relatedPublicHealthActivities_30d_final.docx	Supporting Statement B
Attachment A2 42 CFR 71.pdf	Supplementary Document
Attachment A3 42 CFR 70.pdf	Supplementary Document
Attachment A1 Section 361 of the Public Health Service Act (42 USC 264).pdf	Supplementary Document
SSA_0920-1335Maritime-relatedPublicHealthActivities_30d_final_final.docx	Supporting Statement A
General Maritime Contact Investigation Outcome Reporting Form	Form and Instruction
Varicella Outbreak Enhanced Data Collection Form - Maritime	Form and Instruction
TB Maritime Contact Investigation Worksheet	Form
Maritime Conveyance Illness or Death Investigation Form [Section 5]	Form and Instruction
Maritime Conveyance Illness or Death Investigation Form [Sections 1-4]	Form and Instruction
Report of Death Illness During Stay in Port (Verbal-No Form)	Other-OMB Header and Burden Statement
Report of Death Illness from Ship (Verbal-No Form)	Other-OMB Header and Burden Statement
Cruise Ship Cumulative Acute Respiratory Illness (submitted sooner than 24 hours before arrival in U.S because 3% or more of the voyage's passengers or crew have ARI)	Form and Instruction
COVID-19 Program for Cruise Ships Notice of Participation/Nonparticipation	Form
Cruise Ship Vaccination Status Classification	Form
Cruise Ship Physician - COVID-19 Contact Investigation Worksheet (if necessary)	Form
Cruise Ship Physician - COVID-19 Case Investigation Worksheet (if necessary)	Form
Cruise Ship Physician - COVID-19 Case Investigation Worksheet (if necessary)	Form
Cruise Ship Operator - Remote and In-person Inspections	Instruction
Cruise Ship Brand/Operator - Agreement with Housing Facility with signoff from Local Health Authorities	Form
Cruise Ship Brand/Operator - Agreement with Housing Facility with signoff from Local Health Authorities	Instruction
Cruise Ship Operator - Agreement with Port of Entry with signoff from Local Health Authority	Form
Cruise Ship Operator - Agreement with Port of Entry with signoff from Local Health Authority	Instruction
Cruise Ship Brand/Operator - Agreement with Health Care Organization with signoff from Local Health Authorities	Form
Cruise Ship Brand/Operator - Agreement with Health Care Organization with signoff from Local Health Authorities	Instruction
Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form (submitted once per voyage, within 24 hours before arrival in U.S.)	Form and Instruction
Cruise Ship Holding Company - COVID-19 Response Plan	Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202603-0920-015	Reinstatement with change of a previously approved collection	2026-04-14
202310-0920-011	No material or nonsubstantive change to a currently approved collection	2023-10-31	Approved without change
202306-0920-002	No material or nonsubstantive change to a currently approved collection	2023-06-07	Approved without change
202303-0920-003	No material or nonsubstantive change to a currently approved collection	2023-03-08	Approved without change
202203-0920-006	Revision of a currently approved collection	2022-03-16	Approved without change
202110-0920-007	Extension without change of a currently approved collection	2021-10-28	Approved without change
202108-0920-009	No material or nonsubstantive change to a currently approved collection	2021-08-12	Approved without change
202105-0920-012	No material or nonsubstantive change to a currently approved collection	2021-05-28	Approved without change
202105-0920-004	No material or nonsubstantive change to a currently approved collection	2021-05-06	Approved with change
202104-0920-004	Existing collection in use without an OMB Control Number	2021-04-19	Approved with change