Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
71.21 (a) Radio Report of Death/Illness Report from Ships Modified 2000 67 0 Form none Maritime Conveyance Cumulative Influenza-Like Illness Form
Form none Maritime Conveyance Illness or Death Investigation Form
71.33(c) Report by person in isolation or surveillance Modified 11 1 0
71.35 Report of death/illness in port Modified 5 3 0
71.52 Turtle Importation Permits Modified 5 3 0
African Rodents--Request for Exemption Title 71.56 (a)(2) Modified 20 20 0
Appeal (Importer) Title 71.56 (a)(iii) Modified 2 2 0
Dead Bodies--Death Certificates Title 71.55 Modified 5 5 0
Death/Illness Reports from Aircraft Title 71.21 (b) Modified 1700 57 0 Other-Radio Report from aircraft commander
Dogs/Cats: Certification of confinement, vaccination, CDC form 75.37. Title 71.51(b) Modified 2000 333 0 Form and Instruction 5 Notice to Owners and Importers of Dogs
Dogs/Cats: Record of Sickness or Deaths 71.51 (b)(3) Modified 20 5 0
Gastrointestinal Illness Reports 24 and 4 hours before Arrival (VSP) Title 71.21. (c) Modified 17000 850 0 Form 2 Maritime Illness and Death Reporting System--Gastrointestinal Illness Report
Locator Form used for Reporting of an Ill Passenger(s) (Airport) Modified 800 67 0 Form 4 Public Health Passenger Locator Form
Public Health Passenger Locator Form - Outbreak Aircraft Modified 2700000 225000 0 Form and Instruction 4 Public Health Passenger Locator Form
Recordkeeping--Medical Logs (Maritime), Title 71.21 (c) Modified 17000 850 0 Form 2 Maritime Illness and Death Reporting System--Gastrointestinal Illness Report
Total burden requested under this ICR: 2740568 227263 0  
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