REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS ARRIVING INTO THE UNITED STATES FROM A FOREIGN COUNTRY

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1318 Contact Information - Returned Air Passenger	Form	Unchanged	Repair queued
Form 0920-1318 Contact Information - Returned Air Passenger	Form	Unchanged	Available
Form 0920-1318 Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Unchanged	Available
Form 0920-1318 Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Unchanged	Available
Form 0920-1318 Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Unchanged	Available
Form 0920-1318 Questions Asked to Air Passengers Going Through Compliance Checks	Form	Unchanged	Available
Form 0920-1318 Information Needed to Process Humanitarian or Emergency Testing Exemption or Vaccination Exception	Form	Modified	Available
Form 0920-1318 Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	Form	Modified	Available
Form 0920-1318 Information Needed to Process Humanitarian or Emergency Testing Exemption or Vaccination Exception	Form	Removed	Available
Form 0920-1318 Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery	Form	Removed	Available
Form 0920-1318 REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS ARRIVING INTO THE UNITED STATES FROM A FOREIGN COUNTRY	Form	Modified	Available
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 29MAR2022	Form and Instruction	Modified	Available
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 03DEC2021	Form	Modified	Repair queued
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Form	Modified	Available
Form 0920-1318 PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA JUN2022	Form	Modified	Available
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 29MAR2022	Form and Instruction	Modified	Available
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 03DEC2021	Form	Modified	Available
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Form	Modified	Available
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 29MAR2022	Form and Instruction	Removed	Available
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 03DEC2021	Form and Instruction	Removed	Available
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Form and Instruction	Removed	Available
0920-1318 Change Request-AttestationTravelerTestingVaccineRequirement-6.9.2022.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-06-10	Available
0920-1318 Change Request-AttestationTravelerTestingVaccineRequirement-3.29.2022.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-03-29	Available
Attachment A1-Order Requirement for Proof of Negative COVID-19 Test Result or Recovery-12.2.2021.pdf	Supplementary Document	Uploaded 2021-12-04	Available
Emergency Review Request Memo - Travel Testing and Vaccination Requirements-12.4.2021_SignedRK.pdf	Supplementary Document	Uploaded 2021-12-04	Available
Attachment A3-Order Implementing Proclamation Advancing the Safe Resumption of Global Travel.pdf	Supplementary Document	Uploaded 2021-11-02	Available
Attachment A2-Proclamation on Advancing the Safe Resumption of Global Travel.pdf	Supplementary Document	Uploaded 2021-11-02	Available
Attachment A1-Order Requirement for Proof of Negative COVID-19 Test Result or Recovery.pdf	Supplementary Document	Uploaded 2021-11-02	Available
Attachment H-QARS PIA.pdf	Supplementary Document	Uploaded 2021-11-02	Available
Emergency Review Request Memo - Travel Testing and Vaccination Requirements.pdf	Supplementary Document	Uploaded 2021-11-02	Repair queued
SSB 0920-1318 Combined Testing and Vaccination Requirements-12.4.2021.docx	Supporting Statement B	Uploaded 2021-12-04	Available
SSA 0920-1318 Combined Testing and Vaccination Requirements-07DEC2021.docx	Supporting Statement A	Uploaded 2021-12-07	Available
Attachment B 2021-0920-1318-60dayFRN.pdf	Supplementary Document	Uploaded 2021-05-25	Repair queued
Global Testing Order Emergency Request MEMO- FINAL SIGNED.pdf	Supplementary Document	Uploaded 2021-01-28	Available
Attachment G QARS PIA.pdf	Supplementary Document	Uploaded 2021-05-25	Available
Attachment A4 42 CFR part 71.pdf	Supplementary Document	Uploaded 2021-05-25	Available
Attachment A3 42 USC 264.pdf	Supplementary Document	Uploaded 2021-05-25	Available
Attachment A2 18 U.S.C. 3559, 3571.pdf	Supplementary Document	Uploaded 2021-05-25	Available
Attachment A1 Global COVID-19 Testing Order.pdf	Supplementary Document	Uploaded 2021-05-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
250055	Airline Representative - Contact information collection for public health follow up	Form	Unchanged	Contact Information - Returned Air Passenger
250051	Returned Inadmissible Passenger - Contact information collection for public health follow up	Form	Unchanged	Contact Information - Returned Air Passenger
250047	Air Traveler Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Unchanged	Air Travel Illness or Death Investigation or Traveler Follow-up Form
250044	Noncitizen Nonimmigrant Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Unchanged	Air Travel Illness or Death Investigation or Traveler Follow-up Form
250032	Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Unchanged	Air Travel Illness or Death Investigation or Traveler Follow-up Form
250028	Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks	Form	Unchanged	Questions Asked to Air Passengers Going Through Compliance Checks
250025	Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	Form	Modified	Information Needed to Process Humanitarian or Emergency Testing Exemption or Vaccination Exception
250025	Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	Form	Modified	Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement
250020	Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery	Form	Removed	Information Needed to Process Humanitarian or Emergency Testing Exemption or Vaccination Exception
250020	Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery	Form	Removed	Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery
250018	Airline Desk Agent - Combined Passenger Disclosure and Attestation to the United States of America	Form	Modified	REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS ARRIVING INTO THE UNITED STATES FROM A FOREIGN COUNTRY
250018	Airline Desk Agent - Combined Passenger Disclosure and Attestation to the United States of America	Form and Instruction	Modified	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 29MAR2022
250018	Airline Desk Agent - Combined Passenger Disclosure and Attestation to the United States of America	Form	Modified	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 03DEC2021
250018	Airline Desk Agent - Combined Passenger Disclosure and Attestation to the United States of America	Form	Modified	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA
250017	Noncitizen Nonimmigrant Air Passenger - Section 2 of Combined Passenger Disclosure and Attestation to the United States of America	Form	Modified	PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA JUN2022
250017	Noncitizen Nonimmigrant Air Passenger - Section 2 of Combined Passenger Disclosure and Attestation to the United States of America	Form and Instruction	Modified	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 29MAR2022
250017	Noncitizen Nonimmigrant Air Passenger - Section 2 of Combined Passenger Disclosure and Attestation to the United States of America	Form	Modified	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 03DEC2021
250017	Noncitizen Nonimmigrant Air Passenger - Section 2 of Combined Passenger Disclosure and Attestation to the United States of America	Form	Modified	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA
250014	Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America	Form and Instruction	Removed	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 29MAR2022
250014	Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America	Form and Instruction	Removed	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 03DEC2021
250014	Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America	Form and Instruction	Removed	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA

ICR Details

OMB Control No: 0920-1318	ICR Reference No: 202206-0920-006
Status: Historical Inactive	Previous ICR Reference No: 202203-0920-013
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1318
Title: REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS ARRIVING INTO THE UNITED STATES FROM A FOREIGN COUNTRY
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 12/06/2021
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 06/13/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/13/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2022	06/30/2022	06/30/2022
Responses	337,431,750	0	337,431,750
Time Burden (Hours)	352,538,031	0	352,538,031
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of this information collection is two-fold: To ensure that, consistent with the terms of the October 25, 2021 Amended Order Under Section 361 of The Public Health Service Act (42 U.S.C. § 264) and 42 Code Of Federal Regulations §§ 71.20 and 71.31(b). Requirement For Negative Pre-Departure Covid-19 Test Result Or Documentation Of Recovery From COVID-19 For All Airline Or Other Aircraft Passengers Arriving Into The United States From Any Foreign Country public health authorities in the United States can confirm that air passengers have received a negative test result for COVID-19 or, if they tested positive for the virus that causes COVID-19 in the past 3 months to have documentation that they have recovered and been cleared to travel by a licensed health care provider or public health official, prior to departing a foreign country and arriving in the United States. To ensure that, consistent with the terms of the October 30, 2021 Amended Order Under the Presidential Proclamation titled Advancing Safe Resumption of Global Travel During the COVID-19 Pandemic and CDC’s Order Implementing Proclamation on Advancing Safe Resumption of Global Travel During the COVID-19 Pandemic, public health authorities can confirm that non-U.S Citizen, Non-U.S. Immigrant passengers are fully vaccinated against COVID-19 before boarding a plane to the United States. The current Revision is submitted based on a revised COVID-19 Testing Order to shorten the timeline for required testing for all international air passengers to one day before departure to the United States. This revision strengthens already robust protocols in place for international travel, including requirements for foreign travelers to be fully vaccinated in response to the new COVID-19 variant, Omicron. The revised Order will be effective December 6, 2021. CDC is rescinding the Amended Order: Requirement for Negative Pre-Departure Covid-19 Test Result Or Documentation Of Recovery From Covid-19 For All Airline Or Other Aircraft Passengers Arriving Into The United States From Any Foreign Country (“Amended Testing Order”). In order to align with the rescission CDC is requesting a non-substantive change to remove any references and information collections related to the Amended Testing Order in the Combined Passenger Disclosure and Attestation to the United States of America. There is decrease in estimated burden hours.

Emergency Justfication: On December 2, 2021, CDC revised the COVID-19 testing Order to shorten the timeline for required testing for all international air passengers to one day before departure to the United States. This revision strengthens already robust protocols in place for international travel, including requirements for foreign travelers to be fully vaccinated in response to the new COVID-19 variant, Omicron. Effective December 6, 2021, all air passengers 2 years or older, regardless of citizenship or vaccination status, will be to be required to show a negative pre-departure COVID-19 test taken no more than one day before they board their flight to the United States. Previously, air passengers who were fully vaccinated had could get a test no more than three days before their flight departed. Air passengers who recovered from COVID-19 in the past 90 days may instead travel with documentation of recovery from COVID-19 including their positive viral test result and a letter from a licensed healthcare provider or a public health official stating they were cleared to travel. This update requires changes to the Combined Passenger Disclosure and Attestation to the United States of America. Additionally, to help reduce the amount of personally identifiable information collected, CDC is revising the collection of information needed to issue a humanitarian exemption to the testing requirement or a humanitarian or emergency exception to the proof of vaccination requirement.

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Authorizing Statute(s): US Code: 42 USC 71 Name of Law: Foreign Quarantine
   US Code: 42 USC 264 Name of Law: U.S. PHSA
   US Code: 18 USC 3559
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 63397	11/16/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 9

table that charts list of burden

IC Title	Form No.	Form Name
Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	0920-1318	Air Travel Illness or Death Investigation or Traveler Follow-up Form
Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks	0920-1318	Questions Asked to Air Passengers Going Through Compliance Checks
Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery	0920-1318, 0920-1318	Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery ,   Information Needed to Process Humanitarian or Emergency Testing Exemption or Vaccination Exception
Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America	0920-1318, 0920-1318, 0920-1318	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA ,   COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 03DEC2021 ,   COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 29MAR2022
Air Traveler Air Travel Illness or Death Investigation or Traveler Follow-up Form	0920-1318	Air Travel Illness or Death Investigation or Traveler Follow-up Form
Airline Desk Agent - Combined Passenger Disclosure and Attestation to the United States of America	0920-1318, 0920-1318, 0920-1318, 0920-1318	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA ,   COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 03DEC2021 ,   COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 29MAR2022 ,   REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS ARRIVING INTO THE UNITED STATES FROM A FOREIGN COUNTRY
Airline Representative - Contact information collection for public health follow up	0920-1318	Contact Information - Returned Air Passenger
Noncitizen Nonimmigrant Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	0920-1318	Air Travel Illness or Death Investigation or Traveler Follow-up Form
Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	0920-1318, 0920-1318	Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement ,   Information Needed to Process Humanitarian or Emergency Testing Exemption or Vaccination Exception
Noncitizen Nonimmigrant Air Passenger - Section 2 of Combined Passenger Disclosure and Attestation to the United States of America	0920-1318, 0920-1318, 0920-1318, 0920-1318	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA ,   COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 03DEC2021 ,   COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 29MAR2022 ,   PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA JUN2022
Returned Inadmissible Passenger - Contact information collection for public health follow up	0920-1318	Contact Information - Returned Air Passenger

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Non-Substantive Change Request for 0920-1318 is submitted to remove language associated with COVID-19 Testing due to revised Order. Burden associated with the package is reduced by approximately 250,400,800 hours.

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Annual Cost to Federal Government: $3,643,488

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/13/2022

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