Airline and Vessel and Traveler Information Collection (42 CFR Part 71)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1180 Informal Manifest Request Non-TB Template	Form and Instruction	New	Available
Form 0920-1180 Informal Manifest Request TB Template	Form and Instruction	New	Available
Form 0920-1180 International Non-TB Manifest Order Template	Form and Instruction	New	Available
Form 0920-1180 International TB Manifest Order Template	Form and Instruction	New	Available
ORDER OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES - International Non-TB Manifest Template	Form and Instruction	Removed	Available
ORDER OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES - International TB Manifest Template	Form and Instruction	Removed	Available
Attachment 8 IATA Passenger Manifest Information Request Form.pdf	Supplementary Document	Uploaded 2020-03-21	Available
Attachment 4 CDC Nonresearch determination Letter.pdf	Supplementary Document	Uploaded 2020-03-21	Available
Attachment 3 QARS Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2020-03-21	Available
Attachment 2a A4A Comments_CDC Proposed Data Collection.pdf	Supplementary Document	Uploaded 2020-03-21	Available
Attachment 1E Order under IFR.pdf	Supplementary Document	Uploaded 2020-03-21	Available
Attachment 1C 42 CFR part 71.pdf	Supplementary Document	Uploaded 2020-03-21	Available
Attachment 1B 42 CFR part 70.pdf	Supplementary Document	Uploaded 2020-03-21	Available
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).pdf	Supplementary Document	Uploaded 2020-03-21	Available
Attachment 2 60 Day FRN 0920-1180.pdf	Supplementary Document	Uploaded 2020-03-20	Available
2020 Rationale for OMB Changes to Manifest Orders.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-03-20	Available
0920-1180_INTL Manifest Supporting Statement Part B 06022020.docx	Supporting Statement B	Uploaded 2020-06-08	Available
0920-1180_INTL Manifest Supporting Statement Part A_06022020.docx	Supporting Statement A	Uploaded 2020-06-08	Available
Attachment 10 Receipt of manifest letter.doc	Supplementary Document	Uploaded 2017-01-13	Repair queued
Attachment 9 Informal manifest request template.doc	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 8 IATA Passenger Manifest Information Request Form.pdf	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 7 Order Cover Letter.doc	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 4 CDC Nonresearch determination Letter.pdf	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 3 QARS Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 2 - 60 Day FRN.docx	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 1C 42 CFR part 70.pdf	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 1B 42 CFR part 71.pdf	Supplementary Document	Uploaded 2017-01-13	Available
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).pdf	Supplementary Document	Uploaded 2017-01-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
240814	Airline and Vessel and Traveler Information Collection	Form and Instruction	New	Informal Manifest Request Non-TB Template
240814	Airline and Vessel and Traveler Information Collection	Form and Instruction	New	Informal Manifest Request TB Template
240814	Airline and Vessel and Traveler Information Collection	Form and Instruction	New	International Non-TB Manifest Order Template
240814	Airline and Vessel and Traveler Information Collection	Form and Instruction	New	International TB Manifest Order Template
225158	International Non-TB Manifest Template	Form and Instruction	Removed	ORDER OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES - International Non-TB Manifest Template
225157	International TB Manifest Template	Form and Instruction	Removed	ORDER OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES - International TB Manifest Template

ICR Details

OMB Control No: 0920-1180	ICR Reference No: 202003-0920-014
Status: Historical Active	Previous ICR Reference No: 201701-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No: 16AVM
Title: Airline and Vessel and Traveler Information Collection (42 CFR Part 71)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/12/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/16/2020
Terms of Clearance: Approved consistent with the understanding that any changes associated with this ICR to the collection instruments or type of information gathered is implemented as a result of the retrospective activities or other considerations ---CDC will submit these changes to OMB for review and approval.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2023	36 Months From Approved	06/30/2020
Responses	300	0	96
Time Burden (Hours)	1,800	0	576
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of this information collection is to ensure that, consistent with the terms of regulations at 42 CFR 71.4 and 71.5, and the authorities in the Public Health Service Act and in Code of Federal Regulations (CFR), CDC can collect conveyance, passenger and crew member contact information from airlines and maritime vessels in the event that there is a communicable disease risk associated with travelers coming to the United States and public health follow-up is needed.

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Authorizing Statute(s): US Code: 42 USC 264 Name of Law: U.S. PHSA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 246	12/23/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 21235	04/16/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Airline and Vessel and Traveler Information Collection	0920-1180, 0920-1180, 0920-1180, 0920-1180	International TB Manifest Order Template ,   International Non-TB Manifest Order Template ,   Informal Manifest Request TB Template ,   Informal Manifest Request Non-TB Template
International Non-TB Manifest Template	NA	ORDER OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES - International Non-TB Manifest Template
International TB Manifest Template	NA	ORDER OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES - International TB Manifest Template

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	300	96	0	300	-96	0
Annual Time Burden (Hours)	1,800	576	0	1,800	-576	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: CDC is requesting minor changes to several information collections tools to enhance the utility and clarity for the respondent. CDC is also increasing the burden to more accurately reflect estimates of respondent burden and costs given changes in the number of contact investigations and changes in the process.

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Annual Cost to Federal Government: $502,093

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/16/2020

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