Information Collection

United States Traveler Health Declaration - FRENCH

IC 214890 under ICR 201601-0920-011 · OMB 0920-0821.

Documents and Forms

Document Name Document Type
United States Traveler Health Declaration - FRENCH Form and Instruction
United States Traveler Health Declaration - French Trans Attachment F2 United States Health Dec Trans Guide French.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	United States Traveler Health Declaration - FRENCH	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

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	None	United States Traveler Health Declaration - French Translation Guide	Attachment F2 United States Health Dec Trans Guide French.docx	None	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Quarantine- and Traveler-Related Activities, Including Records for Contact Tracing Investigation	FR Citation: 72 FR 7086

Number of Respondents: 1,586	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,586	1,586
Annual IC Time Burden (Hours)	-397	397
Annual IC Cost Burden (Dollars)	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.