Get Omb Control Number 0920-0134 - Cdc

Filling out the OMB Control Number 0920-0134 form is essential for reporting influenza-like illness data from maritime conveyances. This guide will help you navigate the online form effectively and ensure all necessary information is reported accurately.

Follow the steps to complete the CDC form online.

1. Click the 'Get Form' button to access the document and open it in your browser.
2. In Section 1, provide your contact information. Fill in the 'Person filling out form' field with your name, and complete the required fields marked by red text, including your phone number and email address.
3. Proceed to Section 2 for vessel information. Enter the voyage number, vessel company or name, and the country of departure. Complete the departure date and time, as well as the itinerary information for the next U.S. port.
4. In Section 3, summarize the total number of persons onboard the vessel. Be sure to include the total number of ILI cases documented during the voyage. This information is crucial for accurate reporting.
5. After completing all sections, review your entries for accuracy. Make sure all fields with an asterisk (*) are filled out appropriately.
6. To submit the form, you can either click the gray 'Send Via Email' button to generate an email to submit your report or save the form and attach it to an email, sending it to MaritimeAdmin@cdc.gov.
7. Alternatively, contact the appropriate CDC Quarantine Station for submission by fax or phone, using the resources available on the CDC website.
8. Finally, expect a confirmation email within 1-2 business days. If you do not receive confirmation or need further assistance, reach out to the CDC Emergency Operations Center.

Complete your reporting efficiently by filling out the OMB Control Number 0920-0134 form online today.