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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Request Exemption on Urgent Humanitarian Basis	Form and Instruction	Unchanged	Available
PASSENGER DISCLOSURE AND ATTESTATION	Form and Instruction	Unchanged	Repair queued
PASSENGER DISCLOSURE AND ATTESTATION	Form and Instruction	Unchanged	Available
Attachment B 2021-0920-1318-60dayFRN.pdf	Supplementary Document	Uploaded 2021-05-25	Available
Global Testing Order Emergency Request MEMO- FINAL SIGNED.pdf	Supplementary Document	Uploaded 2021-01-28	Available
Attachment G QARS PIA.pdf	Supplementary Document	Uploaded 2021-05-25	Available
Attachment A4 42 CFR part 71.pdf	Supplementary Document	Uploaded 2021-05-25	Available
Attachment A3 42 USC 264.pdf	Supplementary Document	Uploaded 2021-05-25	Available
Attachment A2 18 U.S.C. 3559, 3571.pdf	Supplementary Document	Uploaded 2021-05-25	Available
Attachment A1 Global COVID-19 Testing Order.pdf	Supplementary Document	Uploaded 2021-05-25	Available
SSB 0920-1318 Global Order 5.17.2021.docx	Supporting Statement B	Uploaded 2021-05-25	Available
SSA 0920-1318 Global Order 5.17.2021-aps5.19.2021 final.docx	Supporting Statement A	Uploaded 2021-05-25	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
247636	Contact Information Collection for Public Health Follow up - Airline Representative	Instruction	Unchanged
247635	Returned Inadmissible Traveler	Instruction	Unchanged
247631	Traveler with Non-Compliant Test or Documentation of Recovery	Instruction	Unchanged
245477	Request Exemption on Urgent Humanitarian Basis - Traveler	Form and Instruction	Unchanged	Request 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	Unchanged	PASSENGER 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	Unchanged	PASSENGER DISCLOSURE AND ATTESTATION

ICR Details

OMB Control No: 0920-1318	ICR Reference No: 202107-0920-001
Status: Historical Active	Previous ICR Reference No: 202105-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1318
Title: 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
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/06/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/06/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	36 Months From Approved	08/31/2021
Responses	190,008,670	0	190,008,670
Time Burden (Hours)	197,919,951	0	197,919,951
Cost Burden (Dollars)	0	0	0

---

Abstract: Information collection is developed to ensure that, consistent with the terms of the January 25, 2021 Order Under Section 361 of The Public Health Service Act (42 U.S.C. § 264) and 42 Code Of Federal Regulations §§ 71.20, 71.31(B), & 71.32(B) Requirement For Negative Pre-Departure Covid-19 Test Result Or Documentation Of Recovery From Covid-19 For All Airline Or Other Aircraft Passengers Arriving Into The United States From Any Foreign Country, public health authorities in the United States can confirm that individuals have received a negative test result for COVID-19 or have recently recovered from COVID-19 and been cleared to travel by a licensed health care provider or public health official prior to departing the foreign country and arriving in the United States.

---

Authorizing Statute(s): US Code: 18 USC 3559
   US Code: 42 USC 264 Name of Law: U.S. PHSA
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 9343	02/12/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 28834	05/28/2021
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 6

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	PASSENGER DISCLOSURE AND ATTESTATION
Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Traveler	NA	PASSENGER DISCLOSURE AND ATTESTATION
Contact Information Collection for Public Health Follow up - Airline Representative
Request Exemption on Urgent Humanitarian Basis - Traveler	NA	Request Exemption on Urgent Humanitarian Basis
Returned Inadmissible Traveler
Traveler with Non-Compliant Test or Documentation of Recovery

---

ICR Summary of Burden

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	190,008,670	190,008,670	0	0	0	0
Annual Time Burden (Hours)	197,919,951	197,919,951	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $3,680,193

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/06/2021

---