Information Collection List

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