Information Collection

Attestation -Proof of Negative Covid-19 Test Result or Documentation of Recovery for Air Passengers from the People's Republic of China

IC 257659 under ICR 202212-0920-017 · OMB 0920-1380.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attestation -Proof of Negative Covid-19 Test Result or Documentation of Recovery for Air Passengers from the People's Republic of China	Form and Instruction
Attestation Proof of Negative COVID-19 Test Reuslt Attestation -Proof of Negative Covid-19 Test Result or Documentation of Recovery for Air Passengers from the People's Republic of China	Form and Instruction
Attestation Proof of Negative COVID-19 Test Reuslt Attachment C -Attestation-Proof of Negative Covid-19 Test Result or Documentation of Recovery for Air Passengers from PRC.docx	Form and Instruction
Attestation Proof of Negative COVID-19 Test Reuslt Attachment C -Attestation-Proof of Negative Covid-19 Test Result or Documentation of Recovery for Air Passengers from PRC.123022	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	NA	Attestation Proof of Negative COVID-19 Test Reuslt	Attachment C -Attestation-Proof of Negative Covid-19 Test Result or Documentation of Recovery for Air Passengers from PRC.123022.FINAL.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: 09-20-0171 - Quarantine- and Traveler-Related Activities

FR Citation: 72 FR 70867

Number of Respondents: 2,500,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,500,000	2,500,000
Annual IC Time Burden (Hours)	5,000,000	5,000,000
Annual IC Cost Burden (Dollars)	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.