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EXEMPTION REQUEST (No Form)

ICR 202610-0920-023 · OMB 0920-1474 · Object 174315901.

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application/vnd.openxmlformats-officedocument.wordprocessingml.document
EXEMPTION REQUEST (No Form)
Zirger, Jeffrey (CDC/OD/OS)
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2026-10-20
2026-11-14
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EXEMPTION REQUEST  (NO FORM)

Privacy Act Statement
The U.S. Centers for Disease Control and Prevention (CDC) requires airlines and other aircraft operators to collect this information pursuant to 42 C.F.R. §§ 71.20 and 71.31(b), as authorized by 42 U.S.C. §
264. Providing this information is mandatory for all passengers arriving by aircraft into the United
States. Failure to provide this information may prevent you from boarding the plane. CDC may use this information to help prevent the introduction, transmission, and spread of communicable diseases by
performing contact tracing investigations, notifying exposed individuals and public health authorities, and other appropriate public health interventions, including the implementation of travel restrictions.

The Privacy Act of 1974, 5 U.S.C. § 552a, governs the collection and use of this information. The information maintained by CDC will be covered by CDC's System of Records No. 09-20-0171,
Quarantine- and Traveler-Related Activities, Including Records for Contact Tracing Investigation and Notification under 42 C.F.R. Parts 70 and 71. See 72 Fed. Reg. 70867 (Dec. 13, 2007), as amended by
76 Fed. Reg. 4485 (Jan. 25, 2011) and 83 Fed. Reg. 6591 (Feb. 14, 2018). CDC will only disclose information from the system outside the CDC and the U.S. Department of Health and Human Services as the Privacy Act permits, including in accordance with the routine uses published for this system in the Federal Register, and as authorized by law. Such lawful purposes may include, but are not limited to,
sharing identifiable information with state and local public health departments, and other cooperating authorities. CDC and cooperating authorities will retain, use, delete, or otherwise destroy the designated information in accordance with federal law and the System of Records Notice (SORN) set forth above. You may contact the system manager at [email protected] or by mailing Policy Office, Division of Global Migration Health, Centers for Disease Control and Prevention, 1600 Clifton Road
NE, MS H16-4, Atlanta, GA 30329, if you have questions about CDC's use of your data.