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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 250017 under ICR 202212-0920-016 · OMB 0920-1318.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
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
Proof of COVID-19 Vaccination Attestation 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
Proof of COVID-19 Vaccination Attestation
Attachment C-Proof of COVID-19 Vaccination For Noncitizen Nonimmigrants Passenger Disclosure and Attestation-12.16.2022 (002).do 		Form and Instruction
Proof of COVID-19 Vaccination Attestation
Attachment C-Proof of COVID-19 Vaccination For Noncitizen Nonimmigrants Passenger Disclosure and Attestation-12.16.2022 (002).do 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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Information Collection Instruments:
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Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Proof of COVID-19 Vaccination Attestation Attachment C-Proof of COVID-19 Vaccination For Noncitizen Nonimmigrants Passenger Disclosure and Attestation-12.16.2022 (002).docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


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  Requested 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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