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Flight Crew Assessment
Emergency Submission to Supplement OMB Control Number 0920-0900 in Context of Contact Investigations Associated with Ebola and Travel
OMB: 0920-1032
IC ID: 213514
OMB.report
HHS/CDC
OMB 0920-1032
ICR 201411-0920-006
IC 213514
( )
Documents and Forms
Document Name
Document Type
Flight Crew Assessment
Form
Crew Assessment
Attachment C Ebola Airline Exposure Assessment Flight Crew_10-15-2014.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Flight Crew Assessment
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
none
Crew Assessment
Attachment C Ebola Airline Exposure Assessment Flight Crew_10-15-2014.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
09-20-0171 Quarantine and Traveler Related Activities, Including Records for Contact Tracing Investigation and Notification under CFR Parts 70 and 71
FR Citation:
72 FR 70867
Number of Respondents:
1,200
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
0
0
-2,400
0
0
2,400
Annual IC Time Burden (Hours)
0
0
-800
0
0
800
Annual IC Cost Burden (Dollars)
0
0
0
0
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.