Noncitizen Nonimmigrant Air Passenger - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA

REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS

OMB: 0920-1318

IC ID: 250017

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Noncitizen Nonimmigrant Air Passenger - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA Attachment C-Combined-Passenger-Attestation-10.30.2021.pdf NA Yes Yes Fillable Fileable
Form 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 03DEC2021 Attachment A - Combined Passenger Attestation for Amended Testing Order-12.2.2021-Clean_.pdf NA Yes Yes Fillable Fileable
Form and Instruction 0920-1318 COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 29MAR2022 Attachment A - CDC_Clean_Passenger Attestation_FINAL.pdf NA Yes Yes Fillable Fileable
Form 0920-1318 PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA PASSENGER DISCLOSURE AND ATTESTATION.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1318 PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 11JUN2022 Attachment C-Proof of COVID-19 Vaccination For Noncitizen Nonimmigrants Passenger Disclosure and Attestation-6.11.2022.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1318 PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA 24JUN2022 Attachment A-Proof of COVID-19 Vaccination For Noncitizen Nonimmigrants Passenger Disclosure and Attestation-6.22.2022.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0171 Quarantine- and Traveler-related Activities  83 FR 6591

60,000,000 0
   
Individuals or Households
 
   100 %

  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 60,000,000 0 0 0 0 60,000,000
Annual IC Time Burden (Hours) 60,000,000 0 0 0 0 60,000,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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