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  
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