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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
42 CFR 70.3 Copy of Materials (Applicant/Attending Physician)
New
2000
500
0
Other-WORD
42 CFR 70.3 Permit Issued by State Health Authority
New
2000
200
0
Other-WORD
42 CFR 70.4 Copy of Materials (State or Local Health Authority)
New
1500
150
0
Other-WORD
42 CFR 70.4 Report by Master Vassel (Person in Charge of Conveyance)
New
1500
375
0
Other-WORD
42 CFR 70.5 Application to Move from State to State - Communicable Period (Attending Physician)
New
3750
938
0
Other-WORD
42 CFR 70.5 Application to Move from State to State - Communicable Period (Traveler)
New
3750
938
0
Other-WORD
Restrictions on Interstate Travel of Persons
Modified
2000
500
0
Other-WORD
Total burden requested under this ICR:
16500
3601
0
To view an IC, click on IC Title