OMB control number
[NCEZID] 2026 Ebola Passenger Disclosure and Attestation
OMB 0920-1474 · HHS/CDC.
OMB 0920-1474
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 0920-XXXX EXEMPTION REQUEST (No Form) | Form and Instruction |
| Form 0920-XXXX PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA | Form and Instruction |
| Form 0920-XXXX PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA | Form and Instruction |
 Emergency Review Request Memo - 2026 Ebola Attestation.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.docx | Supporting Statement B |
| SSA Emergency Clearance_2026 Ebola Passenger Disclosure and Attestation.docx | Supporting Statement A |
 Traveler - Exemptiion Request Form |
Form and Instruction |
| Airline Staff - CDC Ebola Attestation |
Form and Instruction |
| Traveler - CDC Ebola Attestation |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202608-0920-009 | New collection (Request for a new OMB Control Number) | 2026-10-20 | Approved with change |