Airline and Vessel and Traveler Information Collection

[NCEZID] Airline and Vessel and Traveler Information Collection (42 CFR Part 71)

Documents and Forms

Document Name Document Type
Airline and Vessel and Traveler Information Collection Form and Instruction
International Manifest Order Template Attachment 5A_ International Manifest Order Template.docx Form and Instruction
International Manifest Order Template Attachment 5A_ International Manifest Order Template.docx Form and Instruction
Informal International Manifest Request Template Attachment 5C_ Informal International Manifest Request Template.docx Form and Instruction
Informal International Manifest Request Template Attachment 5C_ Informal International Manifest Request Template.docx Form and Instruction
Attachment 5B_email template for International Manifest Order.docx Email Template for International Manifest Order IC Document
Attachment 5B_email template for International Manifest Order.docx Email Template for International Manifest Order IC Document

Information Collection (IC) Details

IC Title:	Airline and Vessel and Traveler Information Collection	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 71

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	International Manifest Order Template	Attachment 5A_ International Manifest Order Template.docx		Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Informal International Manifest Request Template	Attachment 5C_ Informal International Manifest Request Template.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: Quarantine- and Traveler-Related Activities, Including Records for Contact Tracing Investigation and Notification under 42 CFR Parts 70 and 71	FR Citation: 72 FR 70867

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	350	50	300
Annual IC Time Burden (Hours)	875	-925	1,800
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Email Template for International Manifest Order	Attachment 5B_email template for International Manifest Order.docx	06/27/2023

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