Traveler Contact Information - Airport Check-In or Gate Agent

REQUIREMENT FOR AIRLINES TO COLLECT INFORMATION FOR PASSENGERS DESTINED FOR THE UNITED STATES DEPARTING FROM, OR PRESENT IN, THE DEMOCRATIC REPUBLIC OF THE CONGO OR THE REPUBLIC OF GUINEA.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1328 can be found here:

Documents and Forms

Document Name Document Type
Traveler Contact Information - Airport Check-In or Gate Agent Form
Traveler Contact Information Form Traveler Contact Information Form.docx Form
Traveler Contact Information Form Traveler Contact Information Form.docx Form

Information Collection (IC) Details

IC Title:	Traveler Contact Information - Airport Check-In or Gate Agent	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	Traveler Contact Information Form	Traveler Contact Information Form.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title: 09-20-0171	FR Citation: 72 FR 70867

Number of Respondents: 10,800	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,800	10,800
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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