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IVR Active Monitoring Survey - ENGLISH
Quarantine Station Illness Response Forms: Airline, Maritime, and Land/Border Crossing
OMB: 0920-0821
IC ID: 214901
OMB.report
HHS/CDC
OMB 0920-0821
ICR 201601-0920-011
IC 214901
( )
Documents and Forms
Document Name
Document Type
Attachment H IVR Script English.docx
Other-IVR Telephone Survey Script -
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
IVR Active Monitoring Survey - ENGLISH
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
Other-IVR Telephone Survey Script - English
Attachment H IVR Script English.docx
None
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Quarantine- and Traveler-Related Activities, Including Records for Contact Tracing Investigation
FR Citation:
72 FR 7086
Number of Respondents:
49,238
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
-1,033,998
0
0
1,033,998
Annual IC Time Burden (Hours)
0
0
-68,933
0
0
68,933
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.