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

Documents and Forms

Document Name Document Type
Form 0920-1318 Air Traveler (for illness or deathinvestigation) Air Travel Illness or Death Investigation or Traveler Follow-up Form Form and Instruction
0920-1318 Air Travel Illness or Death Investigation or Traveler Fo Attachment E-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf Form and Instruction
0920-1318 Air Travel Illness or Death Investigation or Traveler Fo Attachment E-Air Travel Illness or Death Investigation or Traveler Follow up Form.pdf Form and Instruction

Information Collection (IC) Details

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

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: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,000	-55,000	65,000
Annual IC Time Burden (Hours)	2,500	-13,750	16,250
Annual IC Cost Burden (Dollars)	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.