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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
Removed
0
0
0
Form
none
Restriction on Travel of Persons
42 CFR 70.3 Copy of Materials - Attending Physician
Removed
0
0
0
Form
none
Restriction on Travel of Persons
42 CFR 70.3 Permit Issued by State Health Authority
Removed
0
0
0
Form
none
Restriction on Travel of Persons
42 CFR 70.4 Copy of Material submitted to Health Authority
Removed
0
0
0
Form
none
Restriction on Travel of Persons
42 CFR 70.4 Copy of Materials for State or Local Health Authority
Removed
0
0
0
Form
none
Restriction on Travel of Persons
42 CFR 70.4 Report by Master Vessel or Person in Charge of Conveyance
Removed
0
0
0
Form
none
Restriction on Travel of Persons
42 CFR 70.4 Report of Communcable Disease While in Interstate Travel by Master of Vessel
Modified
200
23
0
Form
none
Report by Master or Person in Charge
42 CFR 70.5 Application to Move from State to State - Communicable Period - Attending Physician
Removed
0
0
0
Form
none
Restriction on Travel of Persons
42 CFR 70.5 Application to Move from State to State - Communicable Period - Traveler
Removed
0
0
0
Form
none
Restriction on Travel of Persons
Passenger Locator Form (Domestic)
New
800
67
0
Form
none
Passenger Locator
Total burden requested under this ICR:
1000
90
0
To view an IC, click on IC Title