Information Collection

Contact Information Collection for Public Health Follow up - Airline Representative

IC 247636 under ICR 202111-0920-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Attachment F Data Collection Points for Travelers_final.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Contact Information Collection for Public Health Follow up - Airline Representative	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
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 %

	Program Change Due to Agency Discretion	Previously Approved
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

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.