OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Requirement For Airlines To Collect Information For Passengers Destined For The United States Departing From, Or Present In, The Democratic Republic Of The Congo Or The Republic Of Guinea.

OMB 0920-1328 · HHS/CDC.

OMB 0920-1328

Latest Forms, Documents, and Supporting Material

Document Name
Traveler Contact Information - Airport Check-In or Gate Agent Form
Traveler Contact Information - International Passengers (3rd party disclosure) Form
EVD Order Rescission Non-sub Change Request_0920-1328.docx Justification for No Material/Nonsubstantive Change
Ebola Emergency Request Memo - signed 04MAR2021.pdf Supplementary Document
Attachment 3 QARS PIA.pdf Supplementary Document
Attachment 2 1651-0088 Supporting Statement 04MAR2021.docx Supplementary Document
Attachment 1E CDC Order.pdf Supplementary Document
Attachment 1C 42 CFR part 71.docx Supplementary Document
Attachment 1B 42 CFR 70.docx Supplementary Document
Attachment 1A 42 USC 264.pdf Supplementary Document
SSA Final 04MAR2021.docx Supporting Statement A
Traveler Contact Information - Airport Check-In or Gate Agent Form
Traveler Contact Information - International Passengers (3rd party disclosure) Form

All Historical Document Collections

202104-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-04-28
202103-0920-003 Approved with change	New collection (Request for a new OMB Control Number)	2021-03-05