Information Collection Request

REQUIREMENT FOR NEGATIVE PRE-DEPARTURE COVID-19 TEST RESULT OR DOCUMENTATION OF RECOVERY AND REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS

ICR 202111-0920-002 · OMB 0920-1318 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-1318 Airline Representative - Contact information collection for public health follow up Form New Available
Form 0920-1318 Returned Inadmissible Passenger - Contact information collection for public health follow up Form New Available
Form 0920-1318 Air Traveler Air Travel Illness or Death Investigation or Traveler Follow-up Form Form New Available
Form 0920-1318 Noncitizen Nonimmigrant Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form Form New Available
Form 0920-1318 Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form Form New Available
Form 0920-1318 Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks Form New Available
Form 0920-1318 Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement Form New Available
Form 0920-1318 Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery Form New Repair queued
Form 0920-1318 Airline Desk Agent - Combined Passenger Disclosure and Attestation to the United States of America Form New Available
Form 0920-1318 Noncitizen Nonimmigrant Air Passenger - Section 2 of Combined Passenger Disclosure and Attestation to the United States of America Form New Available
Form 0920-1318 Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America Form and Instruction New Available
Request Exemption on Urgent Humanitarian Basis - Traveler Form and Instruction Removed Available
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 Removed Available
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 Removed Available
Attachment A3-Order Implementing Proclamation Advancing the Safe Resumption of Global Travel.pdf Supplementary Document Uploaded 2021-11-02 Available
Attachment A2-Proclamation on Advancing the Safe Resumption of Global Travel.pdf Supplementary Document Uploaded 2021-11-02 Available
Attachment A1-Order Requirement for Proof of Negative COVID-19 Test Result or Recovery.pdf Supplementary Document Uploaded 2021-11-02 Available
Attachment H-QARS PIA.pdf Supplementary Document Uploaded 2021-11-02 Available
Emergency Review Request Memo - Travel Testing and Vaccination Requirements.pdf Supplementary Document Uploaded 2021-11-02 Available
SSB 0920-1318 Combined Testing and Vaccination Requirements-11.2.2021.docx Supporting Statement B Uploaded 2021-11-02 Available
SSA 0920-1318 Combined Testing and Vaccination Requirements-11.2.2021.docx Supporting Statement A Uploaded 2021-11-02 Repair queued
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

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
250055 Airline Representative - Contact information collection for public health follow up Form New
250051 Returned Inadmissible Passenger - Contact information collection for public health follow up Form New
250047 Air Traveler Air Travel Illness or Death Investigation or Traveler Follow-up Form Form New
250044 Noncitizen Nonimmigrant Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form Form New
250032 Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form Form New
250028 Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks Form New
250025 Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement Form New
250020 Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery Form New
250018 Airline Desk Agent - Combined Passenger Disclosure and Attestation to the United States of America Form New
250017 Noncitizen Nonimmigrant Air Passenger - Section 2 of Combined Passenger Disclosure and Attestation to the United States of America Form New
250014 Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America Form and Instruction New
247636 Contact Information Collection for Public Health Follow up - Airline Representative Instruction Removed
247635 Returned Inadmissible Traveler Instruction Removed
247631 Traveler with Non-Compliant Test or Documentation of Recovery Instruction Removed
245477 Request Exemption on Urgent Humanitarian Basis - Traveler Form and Instruction Removed
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 Removed
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 Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2022 6 Months From Approved 07/31/2023
337,431,750 0 190,008,670
352,538,031 0 197,919,951
0 0 0





Reginfo record details
11
table that charts list of burden
IC Title Form No. Form Name
Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form 0920-1318 Air Travel Illness or Death Investigation or Traveler Follow-up Form
Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks 0920-1318 Questions Asked to Air Passengers Going Through Compliance Checks
Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery 0920-1318 Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery
Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA
Air Traveler Air Travel Illness or Death Investigation or Traveler Follow-up Form 0920-1318 Air Travel Illness or Death Investigation or Traveler Follow-up Form
Airline Desk Agent - Combined Passenger Disclosure and Attestation to the United States of America 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA
Airline Representative - Contact information collection for public health follow up 0920-1318 Contact Information - Returned Air Passenger
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
Noncitizen Nonimmigrant Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form 0920-1318 Air Travel Illness or Death Investigation or Traveler Follow-up Form
Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement 0920-1318 Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement
Noncitizen Nonimmigrant Air Passenger - Section 2 of Combined Passenger Disclosure and Attestation to the United States of America 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA
Request Exemption on Urgent Humanitarian Basis - Traveler NA Request Exemption on Urgent Humanitarian Basis
Returned Inadmissible Passenger - Contact information collection for public health follow up 0920-1318 Contact Information - Returned Air Passenger
Returned Inadmissible Traveler
Traveler with Non-Compliant Test or Documentation of Recovery

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 337,431,750 190,008,670 0 147,423,080 0 0
Annual Time Burden (Hours) 352,538,031 197,919,951 0 154,618,080 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No