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Travel Agents - Passenger "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
OMB: 0920-1354
IC ID: 250119
OMB.report
HHS/CDC
OMB 0920-1354
ICR 202112-0920-001
IC 250119
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1354 can be found here:
2022-05-26 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Travel Agents - 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
Passenger “Acknowledgement” and collection of informatio
Attachment 4 Passenger “Acknowledgement” and collection of information from passengers.docx
Form
0920-1354 Requirement for Airlines and Operators to Collect and Tr
GCTO Acknowledgement_11302021.pdf
Form
0920-1354 Requirement for Airlines and Operators to Collect and Tr
GCTO Acknowledgement_11302021.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Travel Agents - Passenger "Acknowledgement" and collection of information from passengers
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Fillable Fileable
Form
0920-1354
Requirement for Airlines and Operators to Collect and Transmit Designated Information for Passengers and Crew arriving into the U.S.; Requirement for Passengers to Provide Designate Information
GCTO Acknowledgement_11302021.pdf
NA
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
44,280,000
0
0
0
0
44,280,000
Annual IC Time Burden (Hours)
1,476,000
0
0
0
0
1,476,000
Annual IC Cost Burden (Dollars)
0
0
0
0
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.