Information Collection

Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement

IC 250025 under ICR 202212-0920-016 · OMB 0920-1318.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1318 Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	Form and Instruction
Form 0920-1318 Information Needed to Process Humanitarian or Emergency Testing Exemption or Vaccination Exception Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	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
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

IC Title:

Agency IC Tracking Number:

0920-1318

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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

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: 1,250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,250	-2,150	3,400
Annual IC Time Burden (Hours)	2,500	-4,300	6,800
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.