Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cancer FE form Removed 0 0 0 Form and Instruction n/a
Cardiac FE form Removed 0 0 0 Form and Instruction n/a
Cardiac Surgery FE form Removed 0 0 0 Form and Instruction n/a
Diabetes FE form Removed 0 0 0 Form and Instruction n/a
Drug Alcohol Use FE form Removed 0 0 0 Form and Instruction n/a
General FE form Removed 0 0 0 Form and Instruction n/a
HIV FE form Removed 0 0 0 Form and Instruction n/a
Hearing FE form Removed 0 0 0 Form and Instruction n/a
Hepatitus FE form Removed 0 0 0 Form and Instruction n/a
Hernia FE form Removed 0 0 0 Form and Instruction n/a
Implanted Medical Device FE form Removed 0 0 0 Form and Instruction n/a
Mental Health FE form Removed 0 0 0 Form and Instruction n/a
Orthopedic FE form Removed 0 0 0 Form and Instruction n/a
Palmar Sensation FE form Removed 0 0 0 Form and Instruction n/a
Respiratory FE form Removed 0 0 0 Form and Instruction n/a
Seizure FE form Removed 0 0 0 Form and Instruction n/a
TB FE form Removed 0 0 0 Form and Instruction n/a
TSO Medical Questionnaire and Evaluation New 26565 12912 0 Form and Instruction TSA Form 1130A-1
Form and Instruction TSA Form 1130B-1
Form and Instruction TSA Form 1130B-2
Form and Instruction TSA Form 1130B-3
Form and Instruction TSA Form 1130B-4
Form and Instruction TSA Form 1130B-5
Form and Instruction TSA Form 1130B-6
Form and Instruction TSA Form 1130B-7
Form and Instruction TSA Form 1130B-8
Form and Instruction TSA Form 1130B-9
Form and Instruction TSA Form 1130B-10
Form and Instruction TSA Form 1130B-11
Form and Instruction TSA Form 1130B-12
Form and Instruction TSA Form 1130B-13
Form and Instruction TSA Form 1130B-14
Form and Instruction TSA Form 1130B-15
Form and Instruction TSA Form 1130B-16
Form and Instruction TSA Form 1130B-17
Form and Instruction TSA Form 1130B-18
Form and Instruction TSA Form 1130B-19
Transportation Security Officer Medical Questionnaire Removed 0 0 0 Form and Instruction N/A
Vision FE form Removed 0 0 0 Form and Instruction n/a
Vital Signs FE form Removed 0 0 0 Form and Instruction n/a
Total burden requested under this ICR: 26565 12912 0  
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