OMB
.report
Search
CDC Dog Import Form
[NCEZID] Importation Regulations (42 CFR 71 Subpart F)
OMB: 0920-1383
IC ID: 268285
OMB.report
HHS/CDC
OMB 0920-1383
ICR 202601-0920-009
IC 268285
( )
Documents and Forms
Document Name
Document Type
CDC Dog Import Form
Form and Instruction
CDC Dog Import Form
Attachment 6_CDC Dog Import Form.pdf
Form and Instruction
0920-1383 CDC - Dog Import Form_REV 29JAN2026
Attachment A - CDC Dog Import Form_HR_REV 29JAN2026.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CDC Dog Import Form
Agency IC Tracking Number:
0920-1383
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
CDC Dog Import Form
Attachment 6_CDC Dog Import Form.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1383
CDC - Dog Import Form_REV 29JAN2026
Attachment A - CDC Dog Import Form_HR_REV 29JAN2026.pdf
N/A
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Quarantine- and Traveler-Related Activities
FR Citation:
83 FR 6591
Number of Respondents:
750,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
750,000
0
0
0
0
750,000
Annual IC Time Burden (Hours)
87,500
0
0
0
0
87,500
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.