Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
TSO Medical Questionnaire and Evaluation	Modified	29017	14071	0	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
					Form and Instruction	TSA Form 1130A-1
Total burden requested under this ICR:		29017	14071	0
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