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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
Unchanged
30
10
374
Form and Instruction
n/a
ILI Outbreak Enhanced Data Collection
State/Local General Contact Reporting (Land)
Modified
15
1
47
Form
0920-0900
General Contact Investigation Outcome Reporting Form (Land)
State/Local General Outcome Reporting (Air)
Modified
16672
1389
51850
Form
0920-0900
General Contact Investigation Outcome Reporting Form - Air
State/Local Measles Outcome Reporting (Air)
Modified
73
6
227
Form
0920-0900
Measles Air Contact Investigation Outcome Reporting Form
State/Local Rubella Outcome Reporting (Air)
Modified
27
2
84
Form
0920-0900
Rubella Contact Investigation Outcome Reporting Form - Air
State/Local TB Outcoming Reporting (Air)
Modified
38
3
118
Form
0920-0900
TB Contact Investigation Outcome Reporting Form - Air
Varicella Investigation Outcome Reporting Form
Unchanged
20
7
249
Form
n/a
Varicella Investigation Outcome Reporting Form
Total burden requested under this ICR:
16890
1423
53136
To view an IC, click on IC Title