Information Collection

Air Traveler (for illness or deathinvestigation) Air Travel Illness or Death Investigation or Traveler Follow-up Form

IC 250047 under ICR 202206-0920-008 · OMB 0920-1318.

⚠️ Notice: This information collection may be referencing outdated material.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 Air Traveler (for illness or deathinvestigation) Air Travel Illness or Death Investigation or Traveler Follow-up Form Form
0920-1318 Air Travel Illness or Death Investigation or Traveler Fo Attachment F-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf Form
0920-1318 Air Travel or Death Investigation orTraveler Follow-up F Attachment F-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Air Traveler (for illness or deathinvestigation) Air Travel Illness or Death Investigation or Traveler Follow-up Form	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	Air Travel Illness or Death Investigation or Traveler Follow-up Form	Attachment F-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf	NA	Yes	Yes	Fillable Fileable
Form	0920-1318	Air Travel or Death Investigation orTraveler Follow-up Form	Attachment F-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf	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: 65,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	65,000	63,300	1,700
Annual IC Time Burden (Hours)	16,250	15,825	425
Annual IC Cost Burden (Dollars)	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.