International Maritime Illness or Death Report

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

OMB: 0920-0821

IC ID: 187998

Information Collection (IC) Details

View Information Collection (IC)

International Maritime Illness or Death Report
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none International Maritime Illness or Death Report Attachment I - Maritime Illness or Death Report revised 10809.doc No No Paper Only

Health Public Health Monitoring

Quarantine and Traveler Related Activities, including Records for Contact Tracing Investigation and Notification   72 FR 70867

200 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved 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 200 0 0 0 200 0
Annual IC Time Burden (Hours) 10 0 0 0 10 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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