Air Traveler (for illness or deathinvestigation) Air Travel Illness or Death Investigation or Traveler Follow-up Form

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

OMB: 0920-1318

IC ID: 250047

Information Collection (IC) Details

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Air Traveler (for illness or deathinvestigation) Air Travel Illness or Death Investigation or Traveler Follow-up Form 0920-1318
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1318 Air Travel Illness or Death Investigation or Traveler Follow-up Form Attachment E-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf NA Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0171 Quarantine- and Traveler-related Activities  83 FR 6591

10,000 0
   
Individuals or Households
 
   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 10,000 0 -55,000 0 0 65,000
Annual IC Time Burden (Hours) 2,500 0 -13,750 0 0 16,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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