Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement

REQUIREMENT FOR NEGATIVE PRE-DEPARTURE COVID-19 TEST RESULT OR DOCUMENTATION OF RECOVERY AND REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS

⚠️ Notice: This information collection may be referencing outdated material.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 Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement Form
0920-1318 Request Humanitarian or Emergency Exception to Proof of Attachment D-Humanitarian or Emergency Testing Exemption or Vaccination Exception.pdf Form
0920-1318 Request Humanitarian or Emergency Exception to Proof of Attachment D-Humanitarian or Emergency Testing Exemption or Vaccination Exception.pdf Form
0920-1318 Information Needed to Process Humanitarian or Emergency Information Needed to Apply for Humanitarian Exemption or Exception_Clean.docx Form
0920-1318 Information Needed to Process Humanitarian or Emergency Information Needed to Apply for Humanitarian Exemption or Exception_Clean.docx Form

Information Collection (IC) Details

IC Title:	Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	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	0920-1318	Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	Attachment D-Humanitarian or Emergency Testing Exemption or Vaccination Exception.pdf	NA	Yes	Yes	Fillable Fileable
Form	0920-1318	Information Needed to Process Humanitarian or Emergency Testing Exemption or Vaccination Exception	Information Needed to Apply for Humanitarian Exemption or Exception_Clean.docx	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: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
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.