[NCEZID] Airline and Vessel and Traveler Information Collection (42 CFR Part 71)

OMB 0920-1180

The goal of this information collection is to ensure that, consistent with the terms of regulations at 42 CFR 71.4 and 71.5, and the authorities in the Public Health Service Act and in Code of Federal Regulations (CFR), CDC can collect conveyance, passenger and crew member contact information from airlines and maritime vessels in the event that there is a communicable disease risk associated with travelers coming to the United States and public health follow-up is needed.

The latest form for [NCEZID] Airline and Vessel and Traveler Information Collection (42 CFR Part 71) expires 2023-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Airline and Vessel and Traveler Information Collection Form and Instruction
2. Supporting Statement B_0920-1180.docx Supporting Statement B
1. Supporting Statement A_0920-1180_final.docx Supporting Statement A
Attachment 4_CDC Non-research determination_International Manifest.pdf Supplementary Document
Attachment 3_Privacy Impact Assessment_QARS.pdf Supplementary Document
Attachment 2_60-day Federal Register Notice.pdf Supplementary Document
Attachment 1C_42 CFR part 71.pdf Supplementary Document
Attachment 1B_42 CFR part 70.pdf Supplementary Document
Attachment 1A_Section 361 of the Public Health Service Act (42 USC 264).pdf Supplementary Document
Airline and Vessel and Traveler Information Collection Form and Instruction

All Historical Document Collections

202306-0920-003 Approved without change	Revision of a currently approved collection	2023-06-29
202003-0920-014 Approved with change	Revision of a currently approved collection	2020-04-16
201701-0920-005 Approved with change	New collection (Request for a new OMB Control Number)	2017-01-13

OMB Details

International TB Manifest Template

Federal Enterprise Architecture: Health - Illness Prevention

Form NA

ORDER OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES - International TB Manifest Template

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.