Noncitizen Nonimmigrant Air Passenger - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA

[NCEZID] REQUIREMENT FOR PROOF OF COVID-19 VACCINATION FOR NONCITIZEN, NONIMMIGRANT AIR PASSENGERS

Documents and Forms

Document Name Document Type
Noncitizen Nonimmigrant Air Passenger - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA Form and Instruction
Proof of COVID-19 Vaccination Attestation Attachment C-Proof of COVID-19 Vaccination For Noncitizen Nonimmigrants Passenger Disclosure and Attestation-12.16.2022 (002).do Form and Instruction
Proof of COVID-19 Vaccination Attestation Attachment C-Proof of COVID-19 Vaccination For Noncitizen Nonimmigrants Passenger Disclosure and Attestation-12.16.2022 (002).do Form and Instruction

Information Collection (IC) Details

IC Title:	Noncitizen Nonimmigrant Air Passenger - PROOF OF COVID-19 VACCINATION FOR NONCITIZEN NONIMMIGRANTS PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA	Agency IC Tracking Number:	0920-1318

Is this a Common Form? No		IC Status: Modified

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	n/a	Proof of COVID-19 Vaccination Attestation	Attachment C-Proof of COVID-19 Vaccination For Noncitizen Nonimmigrants Passenger Disclosure and Attestation-12.16.2022 (002).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0171 Quarantine- and Traveler-related Activities	FR Citation: 83 FR 6591

Number of Respondents: 60,000,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	60,000,000	60,000,000
Annual IC Time Burden (Hours)	60,000,000	60,000,000
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.