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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Cruise Ship General Outcome Reporting -Maritime (Word & Excel)
Unchanged
200
17
0
Form
none
General Reporting Maritime (Excel)
Form
none
General Reporting Maritime (Word)
Cruise Ship Measles Outcome Reporting - Maritime (Word & Excel)
Unchanged
126
11
0
Form
none
Measles Maritime (Word)
Form
none
Measles Maritime (Excel)
Cruise Ship Rubella Outcome Reporting - Maritime (Word & Excel)
Unchanged
24
2
0
Form
none
Rubella Maritime (Word)
Form
none
Rubella Maritime (Excel)
Cruise Ship TB Outcome Reporting - Maritime (Word & Excel)
Unchanged
300
25
0
Form
none
TB Maritime Word
Form
none
TB Maritime (Excel)
Ebola Airline Exposure Assessment Airport or other Staff
Removed
0
0
0
Form
none
Ebola Airline Exposure Assessment Airport or Other Staff
Ebola Airline Exposure Assessment Cleaning Staff
Removed
0
0
0
Form
none
Ebola Airline Exposure Assessment Cleaning Staff
Ebola Airline Exposure Assessment Flight Crew
Removed
0
0
0
Form
none
Ebola Airline Exposure Assessment Flight Crew
Ebola Airline Exposure Assessment Passenger
Removed
0
0
0
Form
none
Ebola Airline Exposure Assessment Passenger
Ebola Exposure Questionnaire for Airline Passengers
New
340
113
0
Form and Instruction
None
Ebola Exposure Questionnaire for Airline Passengers
Ebola Exposure Questionnaire for Airport Staff
New
100
33
0
Form and Instruction
None
Ebola Exposure Questionnaire for Airport Staff
Ebola Exposure Questionnaire for Cleaning Crew
New
120
40
0
Form and Instruction
None
Ebola Exposure Questionnaire for Cleaninig Crew
Ebola Exposure Questionnaire for Flight Crew
New
240
80
0
Form and Instruction
None
Ebola Exposure Questionnaire for Flight Crew
Ebola Exposure Questionnaire for Passengers on Other Commercial Conveyances
New
180
60
0
Form and Instruction
None
Ebola Exposure Questionnaire for Passengers of Other Commercial Conveyances
Script for DGMQ HotLine - Introduction
New
2500
208
0
Form and Instruction
None
Script for DGMQ HotLine - Introduction, Flight and Seat Confirmation Ebola Air Contact Investigation
State/Local General Outcome Reporting (Air)
Unchanged
12
1
0
Form
none
General Contact Investigation - Air
State/Local General Outcome Reporting (Land)
Unchanged
12
1
0
Form
none
General Contact Reporting (Land)
State/Local Measles Outcome Reporting (Air)
Unchanged
964
80
0
Form
none
Measles (Air)
State/Local Rubella Outcome Reporting (Air)
Unchanged
95
8
0
Form
none
Rubella (Air)
State/Local TB Outcoming Reporting (Air)
Unchanged
1244
104
0
Form
none
TB Reporting (Air)
Total burden requested under this ICR:
6457
783
0
To view an IC, click on IC Title