Information Collection Request

REQUIREMENT FOR NEGATIVE PRE-DEPARTURE COVID-19 TEST RESULT OR DOCUMENTATION OF RECOVERY FROM COVID-19 FOR ALL AIRLINE OR AIRCRAFT PASSENGERS ARRIVING INTO THE UNITED STATES FROM ANY FOREIGN COUNTRY

ICR 202101-0920-018 · OMB 0920-1318 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Request Exemption on Urgent Humanitarian Basis Form and Instruction New Available
PASSENGER DISCLOSURE AND ATTESTATION Form and Instruction New Available
PASSENGER DISCLOSURE AND ATTESTATION Form and Instruction New Available
Global Testing Order Emergency Request MEMO- FINAL SIGNED.pdf Supplementary Document Uploaded 2021-01-28 Available
Attachment E QARS PIA.pdf Supplementary Document Uploaded 2021-01-28 Available
Attachment A4 42 CFR part 71.docx Supplementary Document Uploaded 2021-01-28 Available
Attachment A3 42 USC 264.pdf Supplementary Document Uploaded 2021-01-28 Available
Attachment A2 18 U.S.C. 3559, 3571.pdf Supplementary Document Uploaded 2021-01-28 Available
Attachment A1 Global COVID-19 Testing Order.pdf Supplementary Document Uploaded 2021-01-28 Available
SSB 0920-XXXX Global Order 01262021.docx Supporting Statement B Uploaded 2021-01-28 Repair queued
SSA 0920-XXXX Global Order 01262021.docx Supporting Statement A Uploaded 2021-01-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
245477 Request Exemption on Urgent Humanitarian Basis - Traveler Form and Instruction NewRequest Exemption on Urgent Humanitarian Basis
245476 Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Airline Desk Agent Form and Instruction NewPASSENGER DISCLOSURE AND ATTESTATION
245473 Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Traveler Form and Instruction NewPASSENGER DISCLOSURE AND ATTESTATION

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2021 4 Months From Approved
68,005,200 0 0
70,843,733 0 0
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Airline Desk Agent NA
Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Traveler NA
Request Exemption on Urgent Humanitarian Basis - Traveler NA

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 68,005,200 0 0 68,005,200 0 0
Annual Time Burden (Hours) 70,843,733 0 0 70,843,733 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No