Information Collection

Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America

IC 250014 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America	Form and Instruction
0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNI Attachment C-Combined-Passenger-Attestation-10.30.2021.pdf	Form and Instruction

IC Title:

Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America

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
Form and Instruction	0920-1318			na	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0171 Quarantine- and Traveler-related Activities

FR Citation: 83 FR 6591

Number of Respondents: 123,000,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	123,000,000	123,000,000
Annual IC Time Burden (Hours)	246,000,000	246,000,000
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].