Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
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
Form
none
Att 3 - Restriction on Travel of Persons
42 CFR 70.3 Copy of Materials -Attending Physician
Modified
2000
500
0
Form
none
Restriction on Travel of Persons
42 CFR 70.3 Permit Issued by State Health Authority
Modified
2000
200
0
Form
none
Restriction on Travel of Persons
42 CFR 70.4 Copy of Material submitted to Health Authority
New
200
50
0
Form
none
Restriction on Travel of Persons
42 CFR 70.4 Copy of Materials -State or Local Health Authority
Modified
1500
150
0
Form
none
Restriction on Travel of Persons - from Master of Vessel
42 CFR 70.4 Report by Master of Vessel or Person in Charge of Conveyance
Modified
1500
375
0
Form
none
Restriction on Travel of Persons - Report from Master of Vessel
42 CFR 70.4 Report of communicable disease while in interstate travel by Master of Vessel
New
200
50
0
Form
none
Restriction on Travel of Persons
42 CFR 70.5 Application to Move from State to State in the Communicable Period (Attending Physician)
Modified
3750
938
0
Form
none
Restriction on Travel of Persons
42 CFR 70.5 Application to Move from State to State in the Communicable Period (Traveler)
Modified
3750
938
0
Form
none
Restriction on Travel of Persons
Total burden requested under this ICR:
16900
3701
0
To view an IC, click on IC Title