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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 TB Outcome Reporting - Maritime (Word)
Unchanged
15
5
187
Form
n/a
Clinically Active TB Contact Investigation Outcome Reporting Form - Maritime
Influenza-like Illness Investigation Outcome Reporting Form - Maritime
Modified
45
15
561
Form and Instruction
n/a
ILI Outbreak Enhanced Data Collection
State/Local General Contact Reporting (Land)
Unchanged
15
1
47
Form
n/a
General Contact Investigation Outcome Reporting Form (Land)
State/Local General Outcome Reporting (Air)
Unchanged
34
3
106
Form
n/a
General Contact Investigation Outcome Reporting Form - Air
State/Local Measles Outcome Reporting (Air)
Unchanged
324
27
1008
Form
0920-0900
Measles Air Contact Investigation Outcome Reporting Form
Form
n/a
Measles Contact Investigation Outcome Reporting Form - Air
State/Local Rubella Outcome Reporting (Air)
Unchanged
27
2
84
Form
n/a
Rubella Contact Investigation Outcome Reporting Form - Air
State/Local TB Outcoming Reporting (Air)
Unchanged
547
46
1701
Form
n/a
TB Contact Investigation Outcome Reporting Form - Air
Varicella Investigation Outcome Reporting Form
Unchanged
29
10
361
Form
n/a
Varicella Investigation Outcome Reporting Form
Total burden requested under this ICR:
1036
109
4055
To view an IC, click on IC Title