Information Collection Request

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

ICR 202004-0920-009 · OMB 0920-1181 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-1181 Domestic Non-TB Manifest Order Template Form New Repair queued
Form 0920-1181 Domestic Non-TB Manifest Template or Informal Manifest Request Form New Repair queued
Form 0920-1181 Public Health Passenger Locator Form: outbreak of public health significance* (international flights) Form and Instruction New Repair queued
Form 0920-1181 Public Health Passenger Locator Form: outbreak of public health significance* (international flights) Form and Instruction New Repair queued
Form 0920-1181 Public Health Passenger Locator Form: limited onboard exposure(domestic flights) Form New Repair queued
Form 0920-1181 Public Health Passenger Locator Form: limited onboard exposure† (domestic flights) Form New Repair queued
Form 0920-1181 Public Health Passenger Locator Form: limited onboard exposure(international flights) Form New Repair queued
Form 0920-1181 Public Health Passenger Locator Form: limited onboard exposure† (international flights Form New Repair queued
Form 0920-1181 Domestic TB Manifest Order Template Form and Instruction New Repair queued
Form 0920-1181 Domestic TB Manifest Template or Informal Manifest Request Form and Instruction New Available
Passenger Locator Form Form Removed Repair queued
Passenger Locator Form - domestic flights Form Removed Repair queued
Passenger Locator Form Form Removed Repair queued
Passenger Locator Form - limited onboard exposure int'l flights Form Removed Repair queued
Passenger Locator Form Form Removed Repair queued
Passenger Locator Form - outbreak of PH significance int'l flights Form Removed Repair queued
Attachment 8 IATA Passenger Manifest Information Request Form.pdf Supplementary Document Uploaded 2020-04-16 Repair queued
Attachment 3 QARS Privacy Impact Assessment.pdf Supplementary Document Uploaded 2020-04-15 Repair queued
Attachment 4 CDC Nonresearch determination Letter.pdf Supplementary Document Uploaded 2020-04-14 Repair queued
Attachment 7 Cover_Letter_Template_Proposed Changes.docx Supplementary Document Uploaded 2020-04-14 Repair queued
Attachment 13 Approval for Removal of Expiration Date.pdf Supplementary Document Uploaded 2020-04-14 Repair queued
Attachment 14 System of Record Notice.pdf Supplementary Document Uploaded 2020-04-14 Repair queued
Attachment 1C 42 CFR part 70.pdf Supplementary Document Uploaded 2020-04-14 Repair queued
Attachment 1B 42 CFR part 71.pdf Supplementary Document Uploaded 2020-04-14 Repair queued
Attachment 13 System of Record Notice.pdf Supplementary Document Uploaded 2017-05-03 Repair queued
Attachment 12 Approval for Removal of Expiration Date.pdf Supplementary Document Uploaded 2016-11-02 Repair queued
Attachment 10 Receipt of manifest letter.doc Supplementary Document Uploaded 2016-11-02 Repair queued
Attachment 8 IATA Passenger Manifest Information Request Form.pdf Supplementary Document Uploaded 2016-11-02 Repair queued
Attachment 7 Order Cover Letter.doc Supplementary Document Uploaded 2016-11-02 Repair queued
Attachment 4 CDC Nonresearch determination Letter.pdf Supplementary Document Uploaded 2016-10-31 Repair queued
Attachment 3 QARS Privacy Impact Assessment.pdf Supplementary Document Uploaded 2016-10-31 Repair queued
Attach 2 PLF 60 day 9.2.16.pdf Supplementary Document Uploaded 2016-10-31 Repair queued
Attachment 1C 42 CFR part 70.pdf Supplementary Document Uploaded 2016-10-31 Repair queued
Attachment 1B 42 CFR part 71.pdf Supplementary Document Uploaded 2016-10-31 Repair queued
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).docx Supplementary Document Uploaded 2016-10-31 Repair queued
0920-1181_Domestic Manifest PLF Supporting Statement Part B.docx Supporting Statement B Uploaded 2020-04-14 Repair queued
Revised 0920-1181_Domestic Manifest PLF SSA.docx Supporting Statement A Uploaded 2020-05-13 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241343 Domestic Non-TB Manifest Template or Informal Manifest Request Form NewDomestic Non-TB Manifest Order Template
241343 Domestic Non-TB Manifest Template or Informal Manifest Request Form New
241342 Public Health Passenger Locator Form: outbreak of public health significance* (international flights) Form and Instruction NewPublic Health Passenger Locator Form: outbreak of public health significance* (international flights)
241342 Public Health Passenger Locator Form: outbreak of public health significance* (international flights) Form and Instruction New
241341 Public Health Passenger Locator Form: limited onboard exposure† (domestic flights) Form NewPublic Health Passenger Locator Form: limited onboard exposure(domestic flights)
241341 Public Health Passenger Locator Form: limited onboard exposure† (domestic flights) Form New
241340 Public Health Passenger Locator Form: limited onboard exposure† (international flights Form NewPublic Health Passenger Locator Form: limited onboard exposure(international flights)
241340 Public Health Passenger Locator Form: limited onboard exposure† (international flights Form New
241339 Domestic TB Manifest Template or Informal Manifest Request Form and Instruction NewDomestic TB Manifest Order Template
241339 Domestic TB Manifest Template or Informal Manifest Request Form and Instruction New
224286 Passenger Locator Form - domestic flights Form RemovedPassenger Locator Form
224286 Passenger Locator Form - domestic flights Form Removed
224285 Passenger Locator Form - limited onboard exposure int'l flights Form RemovedPassenger Locator Form
224285 Passenger Locator Form - limited onboard exposure int'l flights Form Removed
224284 Passenger Locator Form - outbreak of PH significance int'l flights Form RemovedPassenger Locator Form
224284 Passenger Locator Form - outbreak of PH significance int'l flights Form Removed
224253 Domestic non-TB Manifest Template and Informal Manifest Request Instruction Removed
224252 Domestic TB Manifest Template or Informal Manifest Request Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2024 36 Months From Approved 02/28/2021
2,702,100 0 2,701,629
228,134 0 225,308
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Domestic Non-TB Manifest Template or Informal Manifest Request 0920-1181
Domestic TB Manifest Template or Informal Manifest Request
Domestic TB Manifest Template or Informal Manifest Request 0920-1181
Domestic non-TB Manifest Template and Informal Manifest Request
Passenger Locator Form - domestic flights none
Passenger Locator Form - limited onboard exposure int'l flights none
Passenger Locator Form - outbreak of PH significance int'l flights none
Public Health Passenger Locator Form: limited onboard exposure† (domestic flights) 0920-1181
Public Health Passenger Locator Form: limited onboard exposure† (international flights 0920-1181
Public Health Passenger Locator Form: outbreak of public health significance* (international flights) 0920-1181

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 2,702,100 2,701,629 0 2,702,100 -2,701,629 0
Annual Time Burden (Hours) 228,134 225,308 0 228,134 -225,308 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No