Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
COVID-19 Program for Cruise Ships Notice of Participation/Nonparticipation Unchanged 20 100 0 Form 0920-1335 Attachment E_Notice of Participation-Nonparticipation
Cruise Ship Brand/Operator - Agreement with Health Care Organization with signoff from Local Health Authorities Unchanged 30 300 25203 Instruction
Form 0920-1335 Attachment N_Agreement with Health Care Organization
Cruise Ship Brand/Operator - Agreement with Housing Facility with signoff from Local Health Authorities Unchanged 30 300 25203 Instruction
Form 0920-1335 Attachment O_Agreement with Housing Facility
Cruise Ship Holding Company - COVID-19 Response Plan Unchanged 3 120 10081 Instruction
Cruise Ship Operator - Agreement with Port of Entry with signoff from Local Health Authority Unchanged 30 300 25203 Instruction
Form 0920-1335 Attachment M_Agreement with Port of Entry
Cruise Ship Operator - Remote and In-person Inspections Unchanged 130 520 21866 Instruction
Instruction
Cruise Ship Physician - COVID-19 Case Investigation Worksheet (if necessary) Unchanged 104 52 0 Form 0920-1335 COVID-19 Case Investigation worksheet
Form 0920-1335 Attachment K_Cruise COVID19 Case Investigation Worksheet
Cruise Ship Physician - COVID-19 Contact Investigation Worksheet (if necessary) Unchanged 24 12 0 Form 0920-1335 Attachment L_Cruise COVID19 Contact Investigation Worksheet
Cruise Ship Physician - Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form Modified 6000 1000 126000 Form None Cruise Ship Cumulative Acute Respiratory Illness (ARI) Reporting Form
Cruise Ship Vaccination Status Classification Unchanged 130 11 0 Form 0920-1335 Attachment F_Cruise Ship Vaccination Status Classification
Total burden requested under this ICR: 6501 2715 233556  
To view an IC, click on IC Title