Land Border Illness or Death Investigation

Quarantine Station Illness Response Forms: Airline, Maritime, and Land/Border Crossing

OMB: 0920-0821

IC ID: 187999

Information Collection (IC) Details

View Information Collection (IC)

Land Border Illness or Death Investigation
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form No number Land Border Illness or Death Investigation Attachment K - Land Border Crossing of Travelers Form FINAL Burden State2.doc No No Paper Only

Health Public Health Monitoring

Quarantine and Traveler Related Activities, including Records for Contact Tracing Investigation and Notification under 42 CFR 70 and 71  72 FR 70867

60 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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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