Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Applicants Travel Time New 50 50 0 Form and Instruction TSA Form 1163
Form and Instruction TSA Form 1133-3
Applicants' Time Waiting as Healthcare Provider Completes Forms New 50 25 0 Form and Instruction TSA Form 1163
Form and Instruction TSA Form 1133-3
Mental Health Certification Modified 100 100 0 Form and Instruction TSA Form 1164
Practical Exercise Performance Requirements (PEPR) form Modified 50 25 0 Form and Instruction TSA Form 1133-3
Treating Physician Status Report Modified 50 25 0 Form and Instruction TSA Form 1163
Total burden requested under this ICR: 300 225 0  
To view an IC, click on IC Title