Information Collection Request
Airline and Traveler Information Collection: Domestic Manifests and the Passenger Locator Form (42 CFR Part 70 and 71)
ICR 202403-0920-010 · OMB 0920-1181 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-1181 Informal Manifest Request |
Form and Instruction | Modified | Repair queued |
| Form 0920-1181 Public Health Passenger Locator Form: outbreak of public health significance* (international flights) |
Form and Instruction | Removed | Repair queued |
| Form 0920-1181 Public Health Passenger Locator Form_DOMESTIC |
Form and Instruction | Modified | Repair queued |
| Form 0920-1181 Public Health Passenger Locator Form_INTERNATIONAL |
Form and Instruction | Modified | Repair queued |
| Form 0920-1181 Domestic TB Manifest Template or Informal Manifest Request |
Form and Instruction | Modified | Repair queued |
 Attachment 4A-Non-Research Determination_OMB 0920-1181_2015.pdf |
Supplementary Document | Uploaded 2024-03-19 | Repair queued |
| Attachment 10_System of Records Notice 09-20-0171_12.13.2007.pdf |
Supplementary Document | Uploaded 2024-03-19 | Repair queued |
| Attachment 9-Approval for Removal of Expiration Date.pdf |
Supplementary Document | Uploaded 2024-03-19 | Repair queued |
| Attachment 4B-Non-Research Determination_OMB 0920-1181_2024.pdf |
Supplementary Document | Uploaded 2024-03-19 | Repair queued |
| Attachment 2_60-Day Federal Register Notice_OMB 0920-1181_1.16.2024.pdf |
Supplementary Document | Uploaded 2024-03-19 | Repair queued |
| Attachment 3B_Privacy Impact Assessment.pdf |
Supplementary Document | Uploaded 2024-03-19 | Repair queued |
| Attachment 1B_42 CFR part 70 Authorizing Legislation.pdf |
Supplementary Document | Uploaded 2024-03-19 | Repair queued |
| Attachment 1A_Section 361 of the Public Health Service Act (42 USC 264).pdf |
Supplementary Document | Uploaded 2024-03-19 | Repair queued |
| Attachment 8 IATA Passenger Manifest Information Request Form.pdf |
Supplementary Document | Uploaded 2020-04-16 | Repair queued |
| Attachment 3 QARS Privacy Impact Assessment.pdf |
Supplementary Document | Uploaded 2020-04-15 | Repair queued |
| Attachment 4 CDC Nonresearch determination Letter.pdf |
Supplementary Document | Uploaded 2020-04-14 | Repair queued |
 Attachment 7 Cover_Letter_Template_Proposed Changes.docx |
Supplementary Document | Uploaded 2020-04-14 | Repair queued |
| Attachment 13 Approval for Removal of Expiration Date.pdf |
Supplementary Document | Uploaded 2020-04-14 | Repair queued |
| Attachment 14 System of Record Notice.pdf |
Supplementary Document | Uploaded 2020-04-14 | Repair queued |
| Attachment 1C 42 CFR part 70.pdf |
Supplementary Document | Uploaded 2020-04-14 | Repair queued |
| Attachment 1B 42 CFR part 71.pdf |
Supplementary Document | Uploaded 2020-04-14 | Repair queued |
| Attachment 13 System of Record Notice.pdf |
Supplementary Document | Uploaded 2017-05-03 | Repair queued |
| Attachment 12 Approval for Removal of Expiration Date.pdf |
Supplementary Document | Uploaded 2016-11-02 | Repair queued |
 Attachment 10 Receipt of manifest letter.doc |
Supplementary Document | Uploaded 2016-11-02 | Repair queued |
| Attachment 8 IATA Passenger Manifest Information Request Form.pdf |
Supplementary Document | Uploaded 2016-11-02 | Repair queued |
| Attachment 7 Order Cover Letter.doc |
Supplementary Document | Uploaded 2016-11-02 | Missing upstream |
| Attachment 4 CDC Nonresearch determination Letter.pdf |
Supplementary Document | Uploaded 2016-10-31 | Missing upstream |
| Attachment 3 QARS Privacy Impact Assessment.pdf |
Supplementary Document | Uploaded 2016-10-31 | Repair queued |
| Attach 2 PLF 60 day 9.2.16.pdf |
Supplementary Document | Uploaded 2016-10-31 | Missing upstream |
| Attachment 1C 42 CFR part 70.pdf |
Supplementary Document | Uploaded 2016-10-31 | Repair queued |
| Attachment 1B 42 CFR part 71.pdf |
Supplementary Document | Uploaded 2016-10-31 | Repair queued |
| Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).docx |
Supplementary Document | Uploaded 2016-10-31 | Missing upstream |
| Supporting Statement B template _OMB 0920-1181.docx |
Supporting Statement B | Uploaded 2024-03-19 | Repair queued |
| Supporting Statement A template_OMB 0920-1181.docx |
Supporting Statement A | Uploaded 2024-03-19 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 241343 |  Informal Manifest Request |
Form and Instruction | Modified | |
| 241342 | Public Health Passenger Locator Form: outbreak of public health significance* (international flights) |
Form and Instruction | Removed | |
| 241341 | Public Health Passenger Locator Form_DOMESTIC |
Form and Instruction | Modified | |
| 241340 | Public Health Passenger Locator Form_INTERNATIONAL |
Form and Instruction | Modified | |
| 241339 | Domestic TB Manifest Template or Informal Manifest Request |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1181 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202004-0920-009 |
| Agency Tracking No | 0920-1181 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |