Information Collection

Airline Representative - Contact information collection for public health follow up

IC 250055 under ICR 202111-0920-002 · OMB 0920-1318.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1318 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1318 Airline Representative - Contact information collection for public health follow up Form
0920-1318 Contact Information - Returned Air Passenger Attachment G-Returned Inadmissible Passenger.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Airline Representative - Contact information collection for public health follow up	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	0920-1318	Contact Information - Returned Air Passenger	Attachment G-Returned Inadmissible Passenger.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0171	FR Citation: 83 FR 6591

Number of Respondents: 835	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	835	835
Annual IC Time Burden (Hours)	139	139
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.