Attachment 5f. Last Symptom Check and Return to Work Clearance
	
	Form Approved OMB
	No. 0920-1260 Exp.
	Date 04/30/2022 
	CDC estimates the average
	reporting burden for this collection of information as three minutes
	per response, including the time for reviewing instructions,
	searching existing data/information sources, gathering, and
	maintaining the data/information needed, and completing and
	reviewing the collection of information. An agency may not conduct
	or sponsor, and a person is not required to respond to a collection
	of information unless it displays a currently valid OMB Control
	Number. Send comments regarding this burden estimate or any other
	aspect of this collection of information, including suggestions for
	reducing this burden to CDC/ATSDR Information Collection Review
	Office, 1600 Clifton Road, NE, MS D-74, Atlanta, Georgia 30333;
	ATTN: PRA (0920-1260). 
	 
The Vessel Sanitation Program does not require a standard form for this information; however, the requirement to collect and maintain this information is documented in the Vessel Sanitation Program 2018 Operations Manual.
 
 
 
Source: Vessel Sanitation Program 2018 Operations Manual
	
	
	
	
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | NCEH/ATSDR Office of Science | 
| File Modified | 0000-00-00 | 
| File Created | 2023-08-23 |