View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Airline and Vessel and Traveler Information Collection
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
42 CFR 71
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-1180
International TB Manifest Order Template
Attachment 5 International TB Manifest Order Template.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1180
International Non-TB Manifest Order Template
Attachment 6 International Non-TB Manifest Order Template.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1180
Informal Manifest Request TB Template
Attachment 9 Informal Manifest Request TB Template.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1180
Informal Manifest Request Non-TB Template
Attachment 10 Informal Manifest Request Non-TB Template.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
Quarantine- and Traveler-Related Activities, Including Records for Contact Tracing Investigation and Notification under 42 CFR Parts 70 and 71
FR Citation:
72 FR 70867
Number of Respondents:
300
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
300
0
300
0
0
0
Annual IC Time Burden (Hours)
1,800
0
1,800
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2020 Rationale for OMB Changes to Manifest Orders
2020 Rationale for OMB Changes to Manifest Orders.docx
03/21/2020
Interim Final Rule
Attachment 1D Interim Final Rule.pdf
06/09/2020
Order under IFR
Attachment 1E Order under IFR.pdf
06/09/2020
60 Day FRN
Attachment 2A 60 Day FRN 0920-1180.pdf
06/09/2020
A4A Comments_CDC Proposed Data Collection
Attachment 2B A4A Comments_CDC Proposed Data Collection.pdf
06/09/2020
QARS PIA
Attachment 3A QARS PIA.pdf
06/09/2020
EPi-X Privacy Impact Assessment
Attachment 3B EPi-X Privacy Impact Assessment.pdf
06/09/2020
Manifest Received Cover Letter
Attachment 11Manifest Received Cover_Letter_Template.docx
06/09/2020
Cover Letter Template
Attachment 7 Cover_Letter_Template.docx
06/09/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.