Information Collection

Airline Staff (call center) - Passenger "Acknowledgement" and collection of information from passengers

IC 250117 under ICR 202111-0920-009 · OMB 0920-1354.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Airline Staff (call center) - Passenger "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

IC Title:

Airline Staff (call center) - Passenger "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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	Passenger âAcknowledgementâ and collection of information from passengers	Attachment 4 Passenger âAcknowledgementâ and collection of information from passengers.docx	NA	No		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: 12,300,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,300,000	12,300,000
Annual IC Time Burden (Hours)	410,000	410,000
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.