Noncitizen Nonimmigrant Air Passenger (undergoing compliance check and using Humanitarian or Emergency Exception) - Air Travel Illness or Death Investigation or Traveler Follow-up Form

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

Documents and Forms

Document Name Document Type
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
0920-1318 Air Travel Illness or Death Investigation or Traveler Fo Attachment F-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf Form
0920-1318 Air Travel Illness or Death Investigation or Traveler Fo Attachment F-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf Form
0920-1318 Air Travel or Death Investigation orTraveler Follow-up F Attachment F-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf Form
0920-1318 Air Travel or Death Investigation orTraveler Follow-up F Attachment F-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf Form

Information Collection (IC) Details

IC Title:	Noncitizen Nonimmigrant Air Passenger (undergoing compliance check and using Humanitarian or Emergency Exception) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	Air Travel Illness or Death Investigation or Traveler Follow-up Form	Attachment F-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf	NA	Yes	Yes	Fillable Fileable
Form	0920-1318	Air Travel or Death Investigation orTraveler Follow-up Form	Attachment F-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf	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: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-30	30
Annual IC Time Burden (Hours)	-5	5
Annual IC Cost Burden (Dollars)	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.