Airline and Vessel and Traveler Information Collection

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.