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Airline Desk Agent - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA
[NCEZID] REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS
OMB: 0920-1318
IC ID: 250018
OMB.report
HHS/CDC
OMB 0920-1318
ICR 202212-0920-016
IC 250018
( )
Documents and Forms
Document Name
Document Type
Airline Desk Agent - 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)
IC Title:
Airline Desk Agent - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA
Agency IC Tracking Number:
0920-1318
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 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
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:
60,000,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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)
8,000,000
0
0
0
0
8,000,000
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.