Domestic non-TB Manifest Template and Informal Manifest Request

Airline and Traveler Information Collection: Domestic Manifests and the Passenger Locator Form (42 CFR Part 70 and 71)

OMB: 0920-1181

IC ID: 224253

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Domestic non-TB Manifest Template and Informal Manifest Request
 
No New
 
Mandatory
 
42 CFR Foreign Quarantine Reg part 71 42 CFR Foreign Quarantine Reg part 70 42 CFR Public Health Service Act  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment 9 Informal manifest request template.doc Yes Yes Fillable Fileable
Instruction Attachment 6 Domestic Non-TB Manifest Template Order.doc Yes Yes Fillable Fileable

Health Illness Prevention

Quarantine and Traveler Related Activities Including Records for Contact Tracing Investiagation and Notification  72 FR 239

28 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved 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 28 0 28 0 0 0
Annual IC Time Burden (Hours) 168 0 168 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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