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
Form none
Cruise Ship Measles Outcome Reporting - Maritime (Word & Excel) Unchanged 126 11 0 Form none
Form none
Cruise Ship Rubella Outcome Reporting - Maritime (Word & Excel) Unchanged 24 2 0 Form none
Form none
Cruise Ship TB Outcome Reporting - Maritime (Word & Excel) Unchanged 300 25 0 Form none
Form none
Ebola Exposure Questionnaire for Airline Passengers Unchanged 340 113 0 Form and Instruction None
Ebola Exposure Questionnaire for Airport Staff Unchanged 100 33 0 Form and Instruction None
Ebola Exposure Questionnaire for Cleaning Crew Unchanged 120 40 0 Form and Instruction None
Ebola Exposure Questionnaire for Flight Crew Unchanged 240 80 0 Form and Instruction None
Ebola Exposure Questionnaire for Passengers on Other Commercial Conveyances Unchanged 180 60 0 Form and Instruction None
Script for DGMQ HotLine - Introduction Unchanged 2500 208 0 Form and Instruction None
State/Local General Contact Reporting (Air) Modified 50 4 0 Form 0920-0900
State/Local General Outcome Reporting (Land) Unchanged 12 1 0 Form none
State/Local Measles Outcome Reporting (Air) Modified 964 80 0 Form 0920-0900
State/Local Rubella Outcome Reporting (Air) Modified 95 8 0 Form 0920-0900
State/Local TB Outcoming Reporting (Air) Modified 1244 104 0 Form 0920-0900
Total burden requested under this ICR: 6495 786 0  
To view an IC, click on IC Title