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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1318 Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form and Instruction	Modified	Available
Form 0920-1318 Air Traveler (for illness or deathinvestigation) Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form and Instruction	Modified	Repair queued
Form 0920-1318 Air Travel or Death Investigation orTraveler Follow-up Form	Form	Removed	Available
Form 0920-1318 Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Removed	Available
Form 0920-1318 Noncitizen Nonimmigrant Air Passenger (undergoing compliance check and using Humanitarian or Emergency Exception) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Removed	Repair queued
Form 0920-1318 Air Travel or Death Investigation orTraveler Follow-up Form	Form	Removed	Available
Form 0920-1318 Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Removed	Available
Form 0920-1318 Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Removed	Repair queued
Form 0920-1318 Questions Asked to Air Passengers Going Through Compliance Checks	Form	Removed	Available
Form 0920-1318 Questions Asked to Air Passengers Going Through Compliance Checks	Form	Removed	Available
Form 0920-1318 Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks	Form	Removed	Available
Form 0920-1318 Information Needed to Process Humanitarian or Emergency Testing Exemption or Vaccination Exception	Form and Instruction	Modified	Available
Form 0920-1318 Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	Form and Instruction	Modified	Repair queued
Proof of COVID-19 Vaccination Attestation	Form and Instruction	Modified	Available
Airline Desk Agent - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Form and Instruction	Modified	Repair queued
Proof of COVID-19 Vaccination Attestation	Form and Instruction	Modified	Available
Noncitizen Nonimmigrant Air Passenger - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Form and Instruction	Modified	Repair queued
Attachment F-QARS PIA.pdf	Supplementary Document	Uploaded 2022-12-23	Repair queued
Attachment B1-60-Day Federal Register Notice 0920-1318.pdf	Supplementary Document	Uploaded 2022-12-23	Repair queued
Attachment A5-42 CFR part 71.pdf	Supplementary Document	Uploaded 2022-12-23	Repair queued
SSA 0920-1318 Information Collection Request-Proclamation on Advancing the Safe Resumption of Global Travel_final.docx	Supporting Statement A	Uploaded 2022-12-23	Repair queued
SSB 0920-1318 Information Collection Request-Proclamation on Advancing the Safe Resumption of Global Travel.docx	Supporting Statement B	Uploaded 2022-12-23	Repair queued
Attachment A4-42 USC 264.pdf	Supplementary Document	Uploaded 2022-12-23	Repair queued
Attachment A3-18 U.S.C. 3559, 3571.pdf	Supplementary Document	Uploaded 2022-12-23	Repair queued
Attachment A2-Order Implementing Proclamation Advancing the Safe Resumption of Global Travel-4.4.2022.pdf	Supplementary Document	Uploaded 2022-12-23	Repair queued
Attachment A1-A Proclamation on Advancing the Safe Resumption of Global Travel During the COVID-19 Pandemic.pdf	Supplementary Document	Uploaded 2022-12-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
250047	Air Traveler (for illness or deathinvestigation) Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form and Instruction	Modified	Air Travel Illness or Death Investigation or Traveler Follow-up Form
250047	Air Traveler (for illness or deathinvestigation) Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form and Instruction	Modified
250044	Noncitizen Nonimmigrant Air Passenger (undergoing compliance check and using Humanitarian or Emergency Exception) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Removed	Air Travel or Death Investigation orTraveler Follow-up Form
250044	Noncitizen Nonimmigrant Air Passenger (undergoing compliance check and using Humanitarian or Emergency Exception) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Removed	Air Travel Illness or Death Investigation or Traveler Follow-up Form
250044	Noncitizen Nonimmigrant Air Passenger (undergoing compliance check and using Humanitarian or Emergency Exception) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Removed
250032	Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	Form	Removed	Air Travel or Death Investigation orTraveler 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	Removed	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	Removed
250028	Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks	Form	Removed	Questions Asked to Air Passengers Going Through Compliance Checks
250028	Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks	Form	Removed	Questions Asked to Air Passengers Going Through Compliance Checks
250028	Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks	Form	Removed
250025	Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	Form and Instruction	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 and Instruction	Modified
250018	Airline Desk Agent - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Form and Instruction	Modified	Proof of COVID-19 Vaccination Attestation
250018	Airline Desk Agent - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Form and Instruction	Modified
250017	Noncitizen Nonimmigrant Air Passenger - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Form and Instruction	Modified	Proof of COVID-19 Vaccination Attestation
250017	Noncitizen Nonimmigrant Air Passenger - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1318	ICR Reference No: 202212-0920-016
Status: Historical Inactive	Previous ICR Reference No: 202212-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1318
Title: [NCEZID] REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 05/23/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/27/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		24 Months From Approved	05/31/2023
Responses	0	0	120,340,050
Time Burden (Hours)	0	0	68,045,825
Cost Burden (Dollars)	0	0	0

---

Abstract: The goal of this information collection is to ensure that, consistent with the terms of the 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 intended use of the information is to confirm that noncitizen, nonimmigrant passengers are fully vaccinated against COVID-19. This confirmation will help to prevent further introduction, transmission, and spread of the virus into the United States. This Revision has removed any requirements related to compliance checks which affects the burden slightly.

---

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

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 39839	07/05/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 78971	12/23/2022
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

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, 0920-1318	Air Travel Illness or Death Investigation or Traveler Follow-up Form ,   Air Travel or Death Investigation orTraveler Follow-up Form
Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks	0920-1318, 0920-1318	Questions Asked to Air Passengers Going Through Compliance Checks ,   Questions Asked to Air Passengers Going Through Compliance Checks
Air Traveler (for illness or deathinvestigation) 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 - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	n/a	Proof of COVID-19 Vaccination Attestation
Noncitizen Nonimmigrant Air Passenger (undergoing compliance check and using Humanitarian or Emergency Exception) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	0920-1318, 0920-1318	Air Travel Illness or Death Investigation or Traveler Follow-up Form ,   Air Travel or Death Investigation orTraveler Follow-up Form
Noncitizen Nonimmigrant Air Passenger - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	n/a	Proof of COVID-19 Vaccination Attestation
Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	0920-1318	Information Needed to Process Humanitarian or Emergency Testing Exemption or Vaccination Exception

---

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: CDC has removed any requirements related to compliance checks which caused a reduction in burden.

---

Annual Cost to Federal Government: $352,638

Does this IC contain surveys, censuses, or employ statistical methods? No

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

---

Common Form ICR:  No

---

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: 12/27/2022

---