Airline Staff (airport check-in or gate agent) 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

Documents and Forms

Document Name Document Type
Airline Staff (airport check-in or gate agent) 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

IC Title:	Airline Staff (airport check-in or gate agent) Passenger "Acknowledgement" and collection of information from passengers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0171 Quarantie- or Traveler-related Activities	FR Citation: 83 FR 6591

Number of Respondents: 6,150,000	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	Previously Approved
Annual Number of Responses for this IC	6,150,000	6,150,000
Annual IC Time Burden (Hours)	205,000	205,000
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.