42 CFR 70.11 Report of death or illness onboard aircraft operated by airline

Report of Illness or Death: Interstate Travel of Persons (42 CFR part 70)

Documents and Forms

Document Name Document Type
Form 0920-0488 42 CFR 70.11 Report of death or illness onboard aircraft operated by airline Form and Instruction
0920-0488 42 CFR 70.11 - Report of death or illness onboard aircra Attachment 6 - 42 CFR 70.11 Cover Sheet.docx Form and Instruction
0920-0488 42 CFR 70.11 - Report of death or illness onboard aircra Attachment 6 - 42 CFR 70.11 Cover Sheet.docx Form and Instruction

Information Collection (IC) Details

IC Title:	42 CFR 70.11 Report of death or illness onboard aircraft operated by airline	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0488	42 CFR 70.11 - Report of death or illness onboard aircraft operated by airline	Attachment 6 - 42 CFR 70.11 Cover Sheet.docx	NA	Yes	Yes	Fillable Fileable

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, and Notification Under 42CFR Parts 70 and 71 70	FR Citation: 72 FR 70867

Number of Respondents: 1,400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,400	1,210	190
Annual IC Time Burden (Hours)	163	141	22
Annual IC Cost Burden (Dollars)	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.