Information Collection

Contact Information Collection for Public Health Follow up - Airline Representative

IC 247636 under ICR 202105-0920-010 · OMB 0920-1318.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1318 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment F Data Collection Points for Travelers_final.docx	Instruction
Attachment F Data Collection Points for Travelers_final.docx	Instruction

IC Title:

Contact Information Collection for Public Health Follow up - Airline Representative

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Attachment F Data Collection Points for Travelers_final.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: 09-20-0171 - Quarantine- and Traveler-Related Activities, Including Records for Contact Tracing Investigation and Notification

FR Citation: 83 FR 6591

Number of Respondents: 835

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	835	835
Annual IC Time Burden (Hours)	139	139
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.