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Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement
REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS
OMB: 0920-1318
IC ID: 250025
OMB.report
HHS/CDC
OMB 0920-1318
ICR 202206-0920-014
IC 250025
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1318 can be found here:
2022-12-27 - Revision of a currently approved collection
2022-12-13 - No material or nonsubstantive change to a currently approved collection
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
0920-1318 Information Needed to Process Humanitarian or Emergency
Attachment D-Information Needed to Apply for Humanitarian or Emergency Exception-6.11.2022.docx
Form and Instruction
0920-1318 Information Needed to Process Humanitarian or Emergency
Attachment D-Information Needed to Apply for Humanitarian or Emergency Exception-6.11.2022.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
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:
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
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
Form and Instruction
0920-1318
Information Needed to Process Humanitarian or Emergency Testing Exemption or Vaccination Exception
Attachment D-Information Needed to Apply for Humanitarian or Emergency Exception-6.11.2022.docx
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
3,400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,400
0
0
0
0
3,400
Annual IC Time Burden (Hours)
6,800
0
0
0
0
6,800
Annual IC Cost Burden (Dollars)
0
0
0
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.