View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Airline Desk Agent
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NA
PASSENGER DISCLOSURE AND ATTESTATION
Attachment C- GLOBAL - Passenger disclosure and attestation.pdf
NA
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
09-20-0171 - Quarantine-and-Traveler-Related Activities, Including Records for Contact Tracing
FR Citation:
83 FR 6591
Number of Respondents:
34,000,000
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:
0 %
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
34,000,000
0
34,000,000
0
0
0
Annual IC Time Burden (Hours)
2,833,333
0
2,833,333
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
PASSENGER DISCLOSURE AND ATTESTATION - Arabic
Attachment C4 Passenger disclosure and attestation Arabic.pdf
01/28/2021
PASSENGER DISCLOSURE AND ATTESTATION - Chinese
Attachment C3 Passenger disclosure and attestation Chinese.pdf
01/28/2021
PASSENGER DISCLOSURE AND ATTESTATION - French
Attachment C5 Passenger disclosure and attestation French.pdf
01/28/2021
PASSENGER DISCLOSURE AND ATTESTATION - Russian
Attachment C2 -Passenger disclosure and attestation Russian.pdf
01/28/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.