Information Collection

Airline and Vessel and Traveler Information Collection

IC 240814 under ICR 202003-0920-014 · OMB 0920-1180.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1180 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1180 Airline and Vessel and Traveler Information Collection	Form and Instruction
0920-1180 International TB Manifest Order Template Attachment 5 International TB Manifest Order Template.docx	Form and Instruction
0920-1180 International Non-TB Manifest Order Template Attachment 6 International Non-TB Manifest Order Template.docx	Form and Instruction
0920-1180 Informal Manifest Request TB Template Attachment 9 Informal Manifest Request TB Template.docx	Form and Instruction
0920-1180 Informal Manifest Request Non-TB Template Attachment 10 Informal Manifest Request Non-TB Template.docx	Form and Instruction
Attachment 1D Interim Final Rule.pdf Interim Final Rule	IC Document
Attachment 1E Order under IFR.pdf Order under IFR	IC Document
Attachment 2A 60 Day FRN 0920-1180.pdf 60 Day FRN	IC Document
Attachment 2B A4A Comments_CDC Proposed Data Collection.pdf A4A Comments_CDC Proposed Data Collection	IC Document
Attachment 3A QARS PIA.pdf QARS PIA	IC Document
Attachment 3B EPi-X Privacy Impact Assessment.pdf EPi-X Privacy Impact Assessment	IC Document
Attachment 11Manifest Received Cover_Letter_Template.docx Manifest Received Cover Letter	IC Document
Attachment 7 Cover_Letter_Template.docx Cover Letter Template	IC Document
2020 Rationale for OMB Changes to Manifest Orders.docx 2020 Rationale for OMB Changes to Manifest Orders	IC Document

IC Title:

Airline and Vessel and Traveler Information Collection

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 71

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1180	International TB Manifest Order Template	Attachment 5 International TB Manifest Order Template.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1180	International Non-TB Manifest Order Template	Attachment 6 International Non-TB Manifest Order Template.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1180	Informal Manifest Request Non-TB Template	Attachment 10 Informal Manifest Request Non-TB Template.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1180	Informal Manifest Request TB Template	Attachment 9 Informal Manifest Request TB Template.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: Quarantine- and Traveler-Related Activities, Including Records for Contact Tracing Investigation and Notification under 42 CFR Parts 70 and 71

FR Citation: 72 FR 70867

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	1,800	1,800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2020 Rationale for OMB Changes to Manifest Orders	2020 Rationale for OMB Changes to Manifest Orders.docx	03/21/2020
Interim Final Rule	Attachment 1D Interim Final Rule.pdf	06/09/2020
Order under IFR	Attachment 1E Order under IFR.pdf	06/09/2020
60 Day FRN	Attachment 2A 60 Day FRN 0920-1180.pdf	06/09/2020
A4A Comments_CDC Proposed Data Collection	Attachment 2B A4A Comments_CDC Proposed Data Collection.pdf	06/09/2020
QARS PIA	Attachment 3A QARS PIA.pdf	06/09/2020
EPi-X Privacy Impact Assessment	Attachment 3B EPi-X Privacy Impact Assessment.pdf	06/09/2020
Manifest Received Cover Letter	Attachment 11Manifest Received Cover_Letter_Template.docx	06/09/2020
Cover Letter Template	Attachment 7 Cover_Letter_Template.docx	06/09/2020

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