Public Health Passenger Locator Form_DOMESTIC

Airline and Traveler Information Collection: Domestic Manifests and the Passenger Locator Form (42 CFR Part 70 and 71)

OMB: 0920-1181

IC ID: 241341

Information Collection (IC) Details

View Information Collection (IC)

Public Health Passenger Locator Form_DOMESTIC
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1181 Public Health Passenger Locator Form_DOMESTIC Attachment 7_Public Health Passenger Locator Form_revised.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

545 0
   
Individuals or Households
 
   0 %

  Approved 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 545 0 -255 0 0 800
Annual IC Time Burden (Hours) 45 0 -22 0 0 67
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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