Passenger (information to travel agents) "Acknowledgement" and collection of information from passengers

Requirement for Airlines and Operators to Collect and Transmit Designated Information for Passengers and Crew Arriving Into the United States

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1354 can be found here:

Documents and Forms

Document Name Document Type
Passenger (information to travel agents) "Acknowledgement" and collection of information from passengers Form
Passenger “Acknowledgement” and collection of informatio Attachment 4 Passenger “Acknowledgement” and collection of information from passengers.docx Form

Information Collection (IC) Details

IC Title:	Passenger (information to travel agents) "Acknowledgement" and collection of information from passengers	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	NA	Passenger “Acknowledgement” and collection of information from passengers	Attachment 4 Passenger “Acknowledgement” and collection of information from passengers.docx	NA	No		Paper Only

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: 44,280,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	44,280,000	44,280,000
Annual IC Time Burden (Hours)	1,476,000	1,476,000
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.