Information Collection Request

Airline and Traveler Information Collection: Domestic Manifests and the Passenger Locator Form (42 CFR Part 70 and 71)

ICR 202004-0920-009 · OMB 0920-1181 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1181 Domestic Non-TB Manifest Template or Informal Manifest Request Form New Repair queued
Form 0920-1181 Public Health Passenger Locator Form: outbreak of public health significance* (international flights) Form and Instruction New Repair queued
Form 0920-1181 Public Health Passenger Locator Form: limited onboard exposure† (domestic flights) Form New Repair queued
Form 0920-1181 Public Health Passenger Locator Form: limited onboard exposure† (international flights Form New Repair queued
Form 0920-1181 Domestic TB Manifest Template or Informal Manifest Request Form and Instruction New Available
Passenger Locator Form - domestic flights Form Removed Repair queued
Passenger Locator Form - limited onboard exposure int'l flights Form Removed Repair queued
Passenger Locator Form - outbreak of PH significance int'l flights Form Removed Repair queued
Attachment 8 IATA Passenger Manifest Information Request Form.pdf Supplementary Document Uploaded 2020-04-16 Repair queued
Attachment 3 QARS Privacy Impact Assessment.pdf Supplementary Document Uploaded 2020-04-15 Repair queued
Attachment 4 CDC Nonresearch determination Letter.pdf Supplementary Document Uploaded 2020-04-14 Repair queued
Attachment 7 Cover_Letter_Template_Proposed Changes.docx Supplementary Document Uploaded 2020-04-14 Repair queued
Attachment 13 Approval for Removal of Expiration Date.pdf Supplementary Document Uploaded 2020-04-14 Repair queued
Attachment 14 System of Record Notice.pdf Supplementary Document Uploaded 2020-04-14 Missing upstream
Attachment 1C 42 CFR part 70.pdf Supplementary Document Uploaded 2020-04-14 Repair queued
Attachment 1B 42 CFR part 71.pdf Supplementary Document Uploaded 2020-04-14 Repair queued
Attachment 13 System of Record Notice.pdf Supplementary Document Uploaded 2017-05-03 Repair queued
Attachment 12 Approval for Removal of Expiration Date.pdf Supplementary Document Uploaded 2016-11-02 Repair queued
Attachment 10 Receipt of manifest letter.doc Supplementary Document Uploaded 2016-11-02 Repair queued
Attachment 8 IATA Passenger Manifest Information Request Form.pdf Supplementary Document Uploaded 2016-11-02 Repair queued
Attachment 7 Order Cover Letter.doc Supplementary Document Uploaded 2016-11-02 Repair queued
Attachment 4 CDC Nonresearch determination Letter.pdf Supplementary Document Uploaded 2016-10-31 Repair queued
Attachment 3 QARS Privacy Impact Assessment.pdf Supplementary Document Uploaded 2016-10-31 Repair queued
Attach 2 PLF 60 day 9.2.16.pdf Supplementary Document Uploaded 2016-10-31 Repair queued
Attachment 1C 42 CFR part 70.pdf Supplementary Document Uploaded 2016-10-31 Repair queued
Attachment 1B 42 CFR part 71.pdf Supplementary Document Uploaded 2016-10-31 Repair queued
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).docx Supplementary Document Uploaded 2016-10-31 Repair queued
0920-1181_Domestic Manifest PLF Supporting Statement Part B.docx Supporting Statement B Uploaded 2020-04-14 Repair queued
Revised 0920-1181_Domestic Manifest PLF SSA.docx Supporting Statement A Uploaded 2020-05-13 Repair queued
ICR Details
0920-1181 202004-0920-009
Received in OIRA 201610-0920-015
HHS/CDC
Airline and Traveler Information Collection: Domestic Manifests and the Passenger Locator Form (42 CFR Part 70 and 71)
Revision of a currently approved collection   No
Regular 05/13/2020
  Requested Previously Approved
36 Months From Approved 01/31/2021
2,702,100 2,701,629
228,134 225,308
0 0

The goal of this information collection is to ensure that, consistent with the authorities in the Public Health Service Act and in Code of Federal Regulations (CFR), CDC can collect conveyance, passenger and crew member manifest information (aka manifests) and Passenger Locator Forms (PLF) in response to notification of an ill traveler who poses a risk to co-travelers, and that CDC can share useful contact information with health departments.

Statute at Large: 42 Stat. 71 Name of Statute: Foreign Quarantine
   US Code: 42 USC 264 Name of Law: Public Health and Welfare
   Statute at Large: 42 Stat. 70 Name of Statute: Interstate Quarantine
  
None

Not associated with rulemaking

  84 FR 59380 11/04/2019
85 FR 23357 04/27/2020
No

  Total Request 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 2,702,100 2,701,629 0 2,702,100 -2,701,629 0
Annual Time Burden (Hours) 228,134 225,308 0 228,134 -225,308 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
No increased burden is requested. CDC is asking for easily accessible information from airlines concerning crew contact information, a number of passengers on a flight, and where the crew worked during the flight to enhance risk analysis capabilities and determine which passengers need public health to follow up.

$818,871
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.
04/27/2020