OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202003-0920-014 · OMB 0920-1180 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1180 Airline and Vessel and Traveler Information Collection Form and Instruction New Available
International Non-TB Manifest Template Form and Instruction Removed Repair queued
International TB Manifest Template Form and Instruction Removed Available
Attachment 8 IATA Passenger Manifest Information Request Form.pdf Supplementary Document Uploaded 2020-03-21 Available
Attachment 4 CDC Nonresearch determination Letter.pdf Supplementary Document Uploaded 2020-03-21 Available
Attachment 3 QARS Privacy Impact Assessment.pdf Supplementary Document Uploaded 2020-03-21 Available
Attachment 2a A4A Comments_CDC Proposed Data Collection.pdf Supplementary Document Uploaded 2020-03-21 Available
Attachment 1E Order under IFR.pdf Supplementary Document Uploaded 2020-03-21 Available
Attachment 1C 42 CFR part 71.pdf Supplementary Document Uploaded 2020-03-21 Available
Attachment 1B 42 CFR part 70.pdf Supplementary Document Uploaded 2020-03-21 Available
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).pdf Supplementary Document Uploaded 2020-03-21 Available
Attachment 2 60 Day FRN 0920-1180.pdf Supplementary Document Uploaded 2020-03-20 Available
2020 Rationale for OMB Changes to Manifest Orders.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-03-20 Available
0920-1180_INTL Manifest Supporting Statement Part B 06022020.docx Supporting Statement B Uploaded 2020-06-08 Repair queued
0920-1180_INTL Manifest Supporting Statement Part A_06022020.docx Supporting Statement A Uploaded 2020-06-08 Repair queued
Attachment 10 Receipt of manifest letter.doc Supplementary Document Uploaded 2017-01-13 Repair queued
Attachment 9 Informal manifest request template.doc Supplementary Document Uploaded 2017-01-13 Available
Attachment 8 IATA Passenger Manifest Information Request Form.pdf Supplementary Document Uploaded 2017-01-13 Available
Attachment 7 Order Cover Letter.doc Supplementary Document Uploaded 2017-01-13 Available
Attachment 4 CDC Nonresearch determination Letter.pdf Supplementary Document Uploaded 2017-01-13 Available
Attachment 3 QARS Privacy Impact Assessment.pdf Supplementary Document Uploaded 2017-01-13 Available
Attachment 2 - 60 Day FRN.docx Supplementary Document Uploaded 2017-01-13 Available
Attachment 1C 42 CFR part 70.pdf Supplementary Document Uploaded 2017-01-13 Available
Attachment 1B 42 CFR part 71.pdf Supplementary Document Uploaded 2017-01-13 Available
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).pdf Supplementary Document Uploaded 2017-01-13 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
240814 Airline and Vessel and Traveler Information Collection Form and Instruction New
225158 International Non-TB Manifest Template Form and Instruction Removed
225157 International TB Manifest Template Form and Instruction Removed
ICR Details
0920-1180 202003-0920-014
Active 201701-0920-005
HHS/CDC 16AVM
Airline and Vessel and Traveler Information Collection (42 CFR Part 71)
Revision of a currently approved collection   No
Regular
Approved with change 06/12/2020
Retrieve Notice of Action (NOA) 04/16/2020
Approved consistent with the understanding that any changes associated with this ICR to the collection instruments or type of information gathered is implemented as a result of the retrospective activities or other considerations ---CDC will submit these changes to OMB for review and approval.
  Inventory as of this Action Requested Previously Approved
06/30/2023 36 Months From Approved 06/30/2020
300 0 96
1,800 0 576
0 0 0
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.
US Code: 42 USC 264 Name of Law: U.S. PHSA
  
None
Not associated with rulemaking
  84 FR 246 12/23/2019
85 FR 21235 04/16/2020
Yes
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 300 96 0 300 -96 0
Annual Time Burden (Hours) 1,800 576 0 1,800 -576 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
CDC is requesting minor changes to several information collections tools to enhance the utility and clarity for the respondent. CDC is also increasing the burden to more accurately reflect estimates of respondent burden and costs given changes in the number of contact investigations and changes in the process.
$502,093
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Odion Clunis 770 488-0045 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/16/2020