Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew)

Maritime Illness Database and Reporting System (MIDRS)

OMB: 0920-1260

IC ID: 252605

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew) 0920-1260
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1260 Interviews to Determine AGE Status (initial, 24-hr, 48-hr)(asymptomatic cabin mates and immediate contacts of symptomatic crew) Att5d IntrvwsDetermineAGEStatus (non-standard) 20220125.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

83,850 0
   
Private Sector Not-for-profit institutions, 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 251,550 0 251,550 0 0 0
Annual IC Time Burden (Hours) 21,562 0 21,562 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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