Information Collection

Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery

IC 250020 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1318 Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery Form
0920-1318 Request Humanitarian Exemption to COVID-19 Test or Docum Attachment D-Humanitarian or Emergency Testing Exemption or Vaccination Exception.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Form	0920-1318	Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery	Attachment D-Humanitarian or Emergency Testing Exemption or Vaccination Exception.pdf	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 Activities8	FR Citation: 83 FR 6591

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	1,000	1,000
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.