Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
COVID-2019 Air Traveler Illness and Death Investigation Form Modified 1920 480 0 Form and Instruction 0920-20HF
COVID-2019 Referral Slip Modified 640000 53333 0 Form and Instruction 0920-20HF
Daily Sympton Check Unchanged 280000 23333 0 Other-Recorded
Preboarding Health Screen Unchanged 20000 1667 0 Form and Instruction 0920-20HF
Supplemental 2019 Questionnaire Modified 5333 889 0 Form and Instruction 0920-20HF
United States Travel Health Declaration for Repatriation Unchanged 10000 2500 0 Form and Instruction 0920-20HF
United States Travel Health Declaration for Repatriation from Ship Unchanged 10000 2500 0 Form and Instruction 0920-20HF
United States Traveler Health Declaration Modified 640000 160000 0 Form and Instruction 0920-20HF
Form and Instruction 0920-20HF
Form and Instruction 0920-20HF
Form and Instruction 0920-1287
Form and Instruction 0920-1287
Form and Instruction 0920-1287
Total burden requested under this ICR: 1607253 244702 0  
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