Passenger Locator Form - outbreak of PH significance int'l flights

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

OMB: 0920-1181

IC ID: 224284

Information Collection (IC) Details

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Passenger Locator Form - outbreak of PH significance int'l flights
 
No Modified
 
Mandatory
 
42 CFR Foreign Quarantine Reg part 71 42 CFR Public Health Service Act 42 CFR Foreign Quarantine Reg part 70  (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
Form none Passenger Locator Form Attachment 11 Public Health Passenger Locator Form.pdf Yes No Paper Only
Form 0920-1181 Passenger Locator Form (Web-based) Attachment A RWA PLF.jpg NA Yes Yes Fillable Fileable

Health Illness Prevention

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

2,700,000 0
   
Individuals or Households
 
   0 %

  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 2,700,000 0 0 0 0 2,700,000
Annual IC Time Burden (Hours) 225,000 0 0 0 0 225,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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