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Ebola Risk Assessment for Travelers from Outbreak-affected Countries (English)

IC 213992 under ICR 201411-0920-008 · OMB 0920-1031.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Ebola Risk Assessment for Travelers from Outbreak-affected Countries (English) 0920-15FM
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1031 Attachment B1 CDC Form Ebola Risk Assessment - English Attachment B1 CDC Form Ebola Risk Assessment - English.docx Yes No Fillable Printable

Health Public Health Monitoring

 

304 0
   
Individuals or Households
 
   0 %

  Approved 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 304 0 304 0 0 0
Annual IC Time Burden (Hours) 76 0 76 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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