OMB control number

[NCEZID] 2026 Ebola Passenger Disclosure and Attestation

OMB 0920-1474 · HHS/CDC.

OMB 0920-1474

NCEZID requests Emergency approval for Attestation Form to be completed by travelers from DRC (2026) The goal of the information collection is to ensure that, consistent with the terms of a pending 2026 Order, passengers arriving in the United States from any foreign country will confirm that they have not been in the Democratic Republic of the Congo in the past 21 days. Airlines will collect signed attestations from all passengers via paper or digital forms. This Non-Substantive Change Request is submitted to clarify that the attestation requirement to board an international flight into or connecting through the United States applies to all persons, including crew. This has resulted in a reduced overall burden to respondents and a change to language in parts of the data collection (e.g., Passenger to Traveler).

The latest form for [NCEZID] 2026 Ebola Passenger Disclosure and Attestation expires 2027-03-31 and is listed under ICR 202610-0920-023.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920-1474 Verbal CDC Ebola Attestation (No Form)	Form and Instruction
Form 0920-XXXX EXEMPTION REQUEST (No Form)	Form and Instruction
Form 0920-1474 TRAVELER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Form and Instruction
Form 0920-1474 TRAVELER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Form and Instruction
0920-1474 Change Request-2026 Ebola Attestation_FINAL 13NOV2026.docx	Justification for No Material/Nonsubstantive Change
Emergency Review Request Memo - 2026 Ebola Attestation_21Oct26.pdf	Supplementary Document
Attachment D - Ebola Attestation Non-research Determination.pdf	Supplementary Document
Attachment A2-42 CFR part 71.pdf	Supplementary Document
Attachment A1-42 USC 264.pdf	Supplementary Document
SSB Emergency Clearance_2026 Ebola Passenger Disclosure and Attestation-OMB.CDC.clean.docx	Supporting Statement B
SSA Emergency Clearance_2026 Ebola Passenger Disclosure and Attestation-OMB.CDC_clean.docx	Supporting Statement A
Travelers and Crew - Verbal CDC Ebola Attestation	Form and Instruction
Traveler - Exemptiion Request Form	Form and Instruction
Airline Staff - Assist or review CDC Ebola Attestation	Form and Instruction
Travelers and Crew - CDC Ebola Attestation	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202610-0920-023	No material or nonsubstantive change to a currently approved collection	2026-11-13		Approved with change
202608-0920-009	New collection (Request for a new OMB Control Number)	2026-10-20		Approved with change

OMB Details

Travelers and Crew - CDC Ebola Attestation

Federal Enterprise Architecture: Disaster Management - Emergency Response

Information collection instruments
Form	Name	Electronic access	Type
Form 0920-1474	TRAVELER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	N/A	Form and instruction

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