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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Initial PHA _2026 Ebola DRC
Agency IC Tracking Number:
0920-26-0272
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
N/A
2026 Ebola-BVD Response: IPHA
Attachment C1 - 2026_EbolaBVD_IPHA.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Pre-Arrival Public Health Assessment for Travelors from Ebola-affected Countries
Attachment C2 - 2026 EbolaBVD_IPHA_Traveler_final.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Emergency Response
Privacy Act System of Records
Title:
09-20-0171, Quarantine- and Traveler-Related Activities, including Records for Contact Tracing Investigation and Notification
FR Citation:
72 FR 70867
Number of Respondents:
54,750
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
54,750
0
18,250
0
0
36,500
Annual IC Time Burden (Hours)
9,125
0
6,083
0
0
3,042
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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