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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 Applicant to State of Destination for a Permit
Modified
2000
500
0
Form
none
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 for State or Local Health Authority
Modified
1500
150
0
Form
none
Restriction on Travel of Persons
42 CFR 70.4 Report by Master Vessel or Person in Charge of Conveyance
Modified
1500
375
0
Form
none
Restriction on Travel of Persons
42 CFR 70.4 Report of Communcable 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 - 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 - 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