REQUIREMENT FOR NEGATIVE PRE-DEPARTURE COVID-19 TEST RESULT OR DOCUMENTATION OF RECOVERY AND REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS

Forms and Documents

Document Name	Status
Form 0920-1318 Airline Representative - Contact information collection for public health follow up Form	New
Form 0920-1318 Returned Inadmissible Passenger - Contact information collection for public health follow up Form	New
Form 0920-1318 Air Traveler Air Travel Illness or Death Investigation or Traveler Follow-up Form Form	New
Form 0920-1318 Noncitizen Nonimmigrant Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form Form	New
Form 0920-1318 Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form Form	New
Form 0920-1318 Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks Form	New
Form 0920-1318 Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement Form	New
Form 0920-1318 Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery Form	New
Form 0920-1318 Airline Desk Agent - Combined Passenger Disclosure and Attestation to the United States of America Form	New
Form 0920-1318 Noncitizen Nonimmigrant Air Passenger - Section 2 of Combined Passenger Disclosure and Attestation to the United States of America Form	New
Form 0920-1318 Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America Form and Instruction	New
Request Exemption on Urgent Humanitarian Basis - Traveler Form and Instruction	Removed
Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Airline Desk Agent Form and Instruction	Removed
Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Traveler Form and Instruction	Removed
Attachment A3-Order Implementing Proclamation Advancing the Safe Resumption of Global Travel.pdf Supplementary Document	2021-11-02
Attachment A2-Proclamation on Advancing the Safe Resumption of Global Travel.pdf Supplementary Document	2021-11-02
Attachment A1-Order Requirement for Proof of Negative COVID-19 Test Result or Recovery.pdf Supplementary Document	2021-11-02
Attachment H-QARS PIA.pdf Supplementary Document	2021-11-02
Emergency Review Request Memo - Travel Testing and Vaccination Requirements.pdf Supplementary Document	2021-11-02
SSB 0920-1318 Combined Testing and Vaccination Requirements-11.2.2021.docx Supporting Statement B	2021-11-02
SSA 0920-1318 Combined Testing and Vaccination Requirements-11.2.2021.docx Supporting Statement A	2021-11-02
Attachment B 2021-0920-1318-60dayFRN.pdf Supplementary Document	2021-05-25
Global Testing Order Emergency Request MEMO- FINAL SIGNED.pdf Supplementary Document	2021-01-28
Attachment G QARS PIA.pdf Supplementary Document	2021-05-25
Attachment A4 42 CFR part 71.pdf Supplementary Document	2021-05-25
Attachment A3 42 USC 264.pdf Supplementary Document	2021-05-25
Attachment A2 18 U.S.C. 3559, 3571.pdf Supplementary Document	2021-05-25
Attachment A1 Global COVID-19 Testing Order.pdf Supplementary Document	2021-05-25

IC Document Collections

IC ID	Document Title	Status
250055	Airline Representative - Contact information collection for public health follow up Form	New
250051	Returned Inadmissible Passenger - Contact information collection for public health follow up Form	New
250047	Air Traveler Air Travel Illness or Death Investigation or Traveler Follow-up Form Form	New
250044	Noncitizen Nonimmigrant Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form Form	New
250032	Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form Form	New
250028	Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks Form	New
250025	Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement Form	New
250020	Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery Form	New
250018	Airline Desk Agent - Combined Passenger Disclosure and Attestation to the United States of America Form	New
250017	Noncitizen Nonimmigrant Air Passenger - Section 2 of Combined Passenger Disclosure and Attestation to the United States of America Form	New
250014	Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America Form and Instruction	New
247636	Contact Information Collection for Public Health Follow up - Airline Representative Instruction	Removed
247635	Returned Inadmissible Traveler Instruction	Removed
247631	Traveler with Non-Compliant Test or Documentation of Recovery Instruction	Removed
245477	Request Exemption on Urgent Humanitarian Basis - Traveler Form and Instruction	Removed
245476	Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Airline Desk Agent Form and Instruction	Removed
245473	Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Traveler Form and Instruction	Removed

ICR Details

OMB Control No: 0920-1318	ICR Reference No: 202111-0920-002
Status: Active	Previous ICR Reference No: 202107-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1318
Title: REQUIREMENT FOR NEGATIVE PRE-DEPARTURE COVID-19 TEST RESULT OR DOCUMENTATION OF RECOVERY AND REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 11/03/2021
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/03/2021
	Date Received in OIRA: 11/03/2021
Terms of Clearance: CDC will expeditiously seek to transition this into a standard package and consider comments received during the 60/30d periods.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2022	6 Months From Approved	07/31/2023
Responses	337,431,750	0	190,008,670
Time Burden (Hours)	352,538,031	0	197,919,951
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of this information collection is two-fold: To ensure that, consistent with the terms of the October 25, 2021 Amended Order Under Section 361 of The Public Health Service Act (42 U.S.C. § 264) and 42 Code Of Federal Regulations §§ 71.20 and 71.31(b). Requirement For Negative Pre-Departure Covid-19 Test Result Or Documentation Of Recovery From COVID-19 For All Airline Or Other Aircraft Passengers Arriving Into The United States From Any Foreign Country public health authorities in the United States can confirm that air passengers have received a negative test result for COVID-19 or, if they tested positive for the virus that causes COVID-19 in the past 3 months to have documentation that they have recovered and been cleared to travel by a licensed health care provider or public health official, prior to departing a foreign country and arriving in the United States. To ensure that, consistent with the terms of the October 30, 2021 Amended Order Under the Presidential Proclamation titled Advancing Safe Resumption of Global Travel During the COVID-19 Pandemic and CDC’s Order Implementing Proclamation on Advancing Safe Resumption of Global Travel During the COVID-19 Pandemic, public health authorities can confirm that non-U.S Citizen, Non-U.S. Immigrant passengers are fully vaccinated against COVID-19 before boarding a plane to the United States.

Emergency Justfication: On October 25, 2021, CDC announced two Orders 1) Requirement for Negative Pre-Departure Covid-19 Test Result or Documentation of Recovery from Covid-19 For All Airline or Other Aircraft Passengers Arriving in The United States from Any Foreign Country and 2) CDC’s Amended Order Implementing Presidential Proclamation on Advancing Safe Resumption of Global Travel During the COVID-19 Pandemic with the goal of reducing the spread of COVID-19 in the travel corridor and preventing COVID-19 transmission to U.S. communities. These Orders will become effective at 12:01 EST on November 8, 2021.

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Authorizing Statute(s): US Code: 18 USC 3559
   US Code: 42 USC 264 Name of Law: U.S. PHSA
   US Code: 42 USC 71 Name of Law: Foreign Quarantine
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

IC Title	Form No.	Form Name
Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	0920-1318	Air Travel Illness or Death Investigation or Traveler Follow-up Form
Air Passenger (undergoing compliance check) - Questions Asked to Air Passengers Going Through Compliance Checks	0920-1318	Questions Asked to Air Passengers Going Through Compliance Checks
Air Passenger - Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery	0920-1318	Request Humanitarian Exemption to COVID-19 Test or Documentation of Recovery
Air Passenger - Section 1 of Combined Passenger Disclosure and Attestation to the United States of America	0920-1318	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA
Air Traveler Air Travel Illness or Death Investigation or Traveler Follow-up Form	0920-1318	Air Travel Illness or Death Investigation or Traveler Follow-up Form
Airline Desk Agent - Combined Passenger Disclosure and Attestation to the United States of America	0920-1318	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA
Airline Representative - Contact information collection for public health follow up	0920-1318	Contact Information - Returned Air Passenger
Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Airline Desk Agent	NA	PASSENGER DISCLOSURE AND ATTESTATION
Attestation of a negative COVID-19 test/Documentation indicating clearance for travel by a licensed healthcare provider or public health official - Traveler	NA	PASSENGER DISCLOSURE AND ATTESTATION
Contact Information Collection for Public Health Follow up - Airline Representative
Noncitizen Nonimmigrant Air Passenger (undergoing compliance check with non-compliant documentation) - Air Travel Illness or Death Investigation or Traveler Follow-up Form	0920-1318	Air Travel Illness or Death Investigation or Traveler Follow-up Form
Noncitizen Nonimmigrant Air Passenger - Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement	0920-1318	Request Humanitarian or Emergency Exception to Proof of Vaccination Requirement
Noncitizen Nonimmigrant Air Passenger - Section 2 of Combined Passenger Disclosure and Attestation to the United States of America	0920-1318	COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA
Request Exemption on Urgent Humanitarian Basis - Traveler	NA	Request Exemption on Urgent Humanitarian Basis
Returned Inadmissible Passenger - Contact information collection for public health follow up	0920-1318	Contact Information - Returned Air Passenger
Returned Inadmissible Traveler
Traveler with Non-Compliant Test or Documentation of Recovery

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ICR Summary of Burden

	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	337,431,750	190,008,670	0	147,423,080	0	0
Annual Time Burden (Hours)	352,538,031	197,919,951	0	154,618,080	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to: Changing Regulations

Short Statement: Emergency Revision submitted for 0920-1318 to incorporate changes made to information collection activities in response to October 25, 2021 and October 30, 2021 Orders implemented by CDC.

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Annual Cost to Federal Government: $3,643,488

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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? Yes

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/03/2021

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