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Informal Manifest Request
Airline and Traveler Information Collection: Domestic Manifests and the Passenger Locator Form (42 CFR Part 70 and 71)
OMB: 0920-1181
IC ID: 241343
OMB.report
HHS/CDC
OMB 0920-1181
ICR 202403-0920-010
IC 241343
( )
Documents and Forms
Document Name
Document Type
Form 0920-1181
Informal Manifest Request
Form and Instruction
0920-1181 Informal Manifest Request
Attachment 8_Domestic_Informal_Manifest_Request_Template.docx
Form and Instruction
0920-1181 Informal Manifest Request
Attachment 8_Domestic_Informal_Manifest_Request_Template.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Informal Manifest Request
Agency IC Tracking Number:
0920-1181
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
0920-1181
Informal Manifest Request
Attachment 8_Domestic_Informal_Manifest_Request_Template.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
25
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
25
0
-473
0
0
498
Annual IC Time Burden (Hours)
150
0
-2,838
0
0
2,988
Annual IC Cost Burden (Dollars)
0
0
0
0
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.