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