Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cruise Ship General Outcome Reporting -Maritime (Word & Excel) Modified 200 17 0 Form none General Reporting Maritime (Excel)
Form none General Reporting Maritime (Word)
Cruise Ship Measles Outcome Reporting - Maritime (Word & Excel) New 126 11 0 Form none Measles Maritime (Word)
Form none Measles Maritime (Excel)
Cruise Ship Rubella Outcome Reporting - Maritime (Word & Excel) New 24 2 0 Form none Rubella Maritime (Word)
Form none Rubella Maritime (Excel)
Cruise Ship TB Outcome Reporting - Maritime (Word & Excel) Modified 300 25 0 Form none TB Maritime Word
Form none TB Maritime (Excel)
Ebola Airline Exposure Assessment Airport or other Staff New 200 67 0 Form none Ebola Airline Exposure Assessment Airport or Other Staff
Ebola Airline Exposure Assessment Cleaning Staff New 240 80 0 Form none Ebola Airline Exposure Assessment Cleaning Staff
Ebola Airline Exposure Assessment Flight Crew New 480 160 0 Form none Ebola Airline Exposure Assessment Flight Crew
Ebola Airline Exposure Assessment Passenger New 680 227 0 Form none Ebola Airline Exposure Assessment Passenger
State/Local General Outcome Reporting (Air) Modified 12 1 0 Form none General Contact Investigation - Air
State/Local General Outcome Reporting (Land) Modified 12 1 0 Form none General Contact Reporting (Land)
State/Local Measles Outcome Reporting (Air) Modified 964 80 0 Form none Measles (Air)
State/Local Rubella Outcome Reporting (Air) New 95 8 0 Form none Rubella (Air)
State/Local TB Outcoming Reporting (Air) Modified 1244 104 0 Form none TB Reporting (Air)
Total burden requested under this ICR: 4577 783 0  
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