Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
COVID-2019 Air Traveler Illness and Death Investigation Form New 10000 2500 0 Form and Instruction 0920-20HF Air Traveler Illness or Death Investigation Form
COVID-2019 Referral Slip New 300000 25000 0 Form and Instruction 0920-20HF Referral Slip
Daily Sympton Check New 280000 23333 0 Other-Recorded
Preboarding Health Screen New 20000 1667 0 Form and Instruction 0920-20HF Preboarding Health Screen
Supplemental 2019 Questionnaire New 25000 4167 0 Form and Instruction 0920-20HF Supplemental Questionnaire
United States Travel Health Declaration for Repatriation New 10000 2500 0 Form and Instruction 0920-20HF US Traveler Health Declaration for Repatriation
United States Travel Health Declaration for Repatriation from Ship New 10000 2500 0 Form and Instruction 0920-20HF US Traveler Health Declaration Repatriation from Ship
United States Traveler Health Declaration New 300000 75000 0 Form and Instruction 0920-20HF US Traveler health Declaration Web
Form and Instruction 0920-20HF US Traveler Health Declaration Fillable PDF
Form and Instruction 0920-20HF US Traveler Health Declaration Paper
Total burden requested under this ICR: 955000 136667 0  
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