Information Collection

Airline and Vessel and Traveler Information Collection

IC 240814 under ICR 202306-0920-003 · OMB 0920-1180.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Airline and Vessel and Traveler Information Collection	Form and Instruction
International Manifest Order Template Attachment 5A_ International Manifest Order Template.docx	Form and Instruction
International Manifest Order Template Attachment 5A_ International Manifest Order Template.docx	Form and Instruction
Informal International Manifest Request Template Attachment 5C_ Informal International Manifest Request Template.docx	Form and Instruction
Informal International Manifest Request Template Attachment 5C_ Informal International Manifest Request Template.docx	Form and Instruction
Attachment 5B_email template for International Manifest Order.docx Email Template for International Manifest Order	IC Document
Attachment 5B_email template for International Manifest Order.docx Email Template for International Manifest Order	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 71

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	n/a	International Manifest Order Template	Attachment 5A_ International Manifest Order Template.docx		Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Informal International Manifest Request Template	Attachment 5C_ Informal International Manifest Request Template.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: Quarantine- and Traveler-Related Activities, Including Records for Contact Tracing Investigation and Notification under 42 CFR Parts 70 and 71

FR Citation: 72 FR 70867

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	350	50	300
Annual IC Time Burden (Hours)	875	-925	1,800
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Email Template for International Manifest Order	Attachment 5B_email template for International Manifest Order.docx	06/27/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.