Information Collection

Importer/Filer Documentation of Non-infectiousness

IC 212007 under ICR 201705-0920-008 · OMB 0920-0263.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0263 can be found here:

Documents and Forms

Document Name Document Type
Form 71.53 Importer/Filer Documentation of Non-infectiousness Form and Instruction
71.53 Documentation of Non-infectiousness Attachment 3 42 CFR 71.53.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Importer/Filer Documentation of Non-infectiousness	Agency IC Tracking Number:

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	71.53	Documentation of Non-infectiousness	Attachment 3 42 CFR 71.53.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,280	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,280	0	2,280
Annual IC Time Burden (Hours)	190	0	190
Annual IC Cost Burden (Dollars)	8,550	8,550	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.