Cruise Ship Brand/Operator - Agreement with Health Care Organization with signoff from Local Health Authorities

[NCEZID] Phased Approach to the Resumption of Cruise Ship Passenger Operations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1335 can be found here:

Documents and Forms

Document Name Document Type
ROCIS - Agreement with HCO and LHA.docx Instruction
0920-1335 Attachment N_Agreement with Health Care Organization Attachment N_Agreement with Health Care Organization.docx Form

Information Collection (IC) Details

IC Title:	Cruise Ship Brand/Operator - Agreement with Health Care Organization with signoff from Local Health Authorities	Agency IC Tracking Number:	0920-1335

Is this a Common Form? No		IC Status: Unchanged

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
Instruction			ROCIS - Agreement with HCO and LHA.docx		Yes	Yes	Fillable Fileable
Form	0920-1335	Attachment N_Agreement with Health Care Organization	Attachment N_Agreement with Health Care Organization.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	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	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	25,203	25,203

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.