Airline and Traveler Information Collection: Domestic Manifests and the Passenger Locator Form (42 CFR Part 70 and 71)

OMB 0920-1181

This information collection ensures that, consistent with the authorities in the Public Health Service Act and in Code of Federal Regulations (CFR), CDC can collect conveyance, passenger and crew member manifest information (manifests) and Passenger Locator Forms (PLF) in the event an individual with a confirmed or suspected case of a communicable disease is known to have traveled on an interstate flight while infectious or potentially infectious and presented a risk of spread to other passengers or crew. This is collected so CDC can initiate the process of contact tracing or provision of other public health follow up to prevent further disease spread.

The latest form for Airline and Traveler Information Collection: Domestic Manifests and the Passenger Locator Form (42 CFR Part 70 and 71) expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1181 Informal Manifest Request Form and Instruction
Form 0920-1181 Public Health Passenger Locator Form: outbreak of public health significance* (international flights) Form and Instruction
Form 0920-1181 Public Health Passenger Locator Form_DOMESTIC Form and Instruction
Form 0920-1181 Public Health Passenger Locator Form_INTERNATIONAL Form and Instruction
Form 0920-1181 Domestic TB Manifest Template or Informal Manifest Request Form and Instruction
Attachment 4A-Non-Research Determination_OMB 0920-1181_2015.pdf Supplementary Document
Attachment 10_System of Records Notice 09-20-0171_12.13.2007.pdf Supplementary Document
Attachment 9-Approval for Removal of Expiration Date.pdf Supplementary Document
Attachment 4B-Non-Research Determination_OMB 0920-1181_2024.pdf Supplementary Document
Attachment 2_60-Day Federal Register Notice_OMB 0920-1181_1.16.2024.pdf Supplementary Document
Attachment 3B_Privacy Impact Assessment.pdf Supplementary Document
Attachment 1B_42 CFR part 70 Authorizing Legislation.pdf Supplementary Document
Attachment 1A_Section 361 of the Public Health Service Act (42 USC 264).pdf Supplementary Document
Attachment 8 IATA Passenger Manifest Information Request Form.pdf Supplementary Document
Attachment 3 QARS Privacy Impact Assessment.pdf Supplementary Document
Attachment 4 CDC Nonresearch determination Letter.pdf Supplementary Document
Attachment 7 Cover_Letter_Template_Proposed Changes.docx Supplementary Document
Attachment 13 Approval for Removal of Expiration Date.pdf Supplementary Document
Attachment 14 System of Record Notice.pdf Supplementary Document
Attachment 1C 42 CFR part 70.pdf Supplementary Document
Attachment 1B 42 CFR part 71.pdf Supplementary Document
Attachment 13 System of Record Notice.pdf Supplementary Document
Attachment 12 Approval for Removal of Expiration Date.pdf Supplementary Document
Attachment 10 Receipt of manifest letter.doc Supplementary Document
Attachment 8 IATA Passenger Manifest Information Request Form.pdf Supplementary Document
Attachment 7 Order Cover Letter.doc Supplementary Document
Attachment 4 CDC Nonresearch determination Letter.pdf Supplementary Document
Attachment 3 QARS Privacy Impact Assessment.pdf Supplementary Document
Attach 2 PLF 60 day 9.2.16.pdf Supplementary Document
Attachment 1C 42 CFR part 70.pdf Supplementary Document
Attachment 1B 42 CFR part 71.pdf Supplementary Document
Attachment 1A Section 361 of the Public Health Service Act (42 USC 264).docx Supplementary Document
Supporting Statement B template _OMB 0920-1181.docx Supporting Statement B
Supporting Statement A template_OMB 0920-1181.docx Supporting Statement A
Informal Manifest Request Form and Instruction
Public Health Passenger Locator Form: outbreak of public health significance* (international flights) Form and Instruction
Public Health Passenger Locator Form_DOMESTIC Form and Instruction
Public Health Passenger Locator Form_INTERNATIONAL Form and Instruction
Domestic TB Manifest Template or Informal Manifest Request Form and Instruction

All Historical Document Collections

202403-0920-010 Approved with change	Revision of a currently approved collection	2024-03-21
202004-0920-009	Revision of a currently approved collection	2020-05-13
202003-0920-003 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2020-03-04
201610-0920-015 Approved with change	Existing collection in use without an OMB Control Number	2016-11-08

OMB Details

Domestic TB Manifest Template or Informal Manifest Request

Federal Enterprise Architecture: Health - Illness Prevention