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OMB Control No: 1653-0055	ICR Reference No: 202107-1653-002
Status: Active	Previous ICR Reference No:
Agency/Subagency: DHS/USICE	Agency Tracking No:
Title: ICE Flight Manifest/Billing Agreement
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/08/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/03/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2026	36 Months From Approved
Responses	250	0	0
Time Burden (Hours)	63	0	0
Cost Burden (Dollars)	0	0	0

Abstract: OMB Circular A-126, Subject: Improving the Management and Use of Government Aircraft (May 22, 1992), requires that government agencies that fly non-official passengers in a Space Available status charge them the “full coach fare” cost of their seat on the government aircraft. Circular A-126 defines “full coach fare” as “a coach fare available to the general public between the day that the travel was planned and the day that the travel occurred.” Id. ¶ 4f. To properly bill these passengers, ICE must set up accounts receivable in the Federal Financial Management System (FFMS). Accounts receivable must be based on legally valid debts. The Flight Manifest/Billing Agreement (FM/BA) form will collect the contact information needed to send bills to these passengers from FFMS, and will document their agreement to be billed for their seats on these flights. The ICE Flight Manifest Information/Agreement To Reimburse form is used to collect information from members of the public, contractors, Federal employees, or dependents who intend to board ICE-chartered aircraft for purposes of evacuation. The purposes of the data collected on this form are two-fold. First, ICE will verify the individual’s identity before he/she boards an ICE-chartered aircraft to assess the safety of the aircraft, its crew, other passengers, and the United States. Further, the data collected on the form is also used in the event of an emergency to help ensure timely notification of points of contact designated by the passenger. Second, the form will confirm the agreement of Space Available passengers to be billed for their travel, and establish the names, addresses, and Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN) for billing and collection purposes. The ICE Senior Field Official(s) at the airfield of embarkation will collect pertinent data for flight manifest information from all persons wishing to fly on an ICE-chartered aircraft prior to their boarding of the aircraft. Only passengers flying in a Space Available status, that is, private persons not on official government travel orders, will be required to complete the relevant fields on the form stating the reason for Space Available travel and requesting their signature to document their agreement to be billed for their travel. In special emergency situations, the form may be completed in-flight. The ICE Senior Field Official(s) will then submit the completed forms and the flight manifest to the program office that chartered the flight and to the Emergency Management Unit via email, as soon as practicable upon completion of the flight.

Authorizing Statute(s): US Code: 5 USC 301 Name of Law: GOVERNMENT ORGANIZATION AND EMPLOYEES
US Code: 49 USC 44909 Name of Law: PASSENGER MANIFESTS

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 22246	04/27/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 36292	07/09/2021
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
ICE Flight Manifest/Billing Agreement	12-318	ICE Flight Manifest Information/Agreement

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	250	250
Annual Time Burden (Hours)	63	63
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection

Annual Cost to Federal Government: $11,756

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Scott Elmore 202 732-2601 scott.a.elmore@ice.dhs.gov

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