View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1652-0043
ICR Reference No:
200612-1652-002
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
DHS/TSA
Agency Tracking No:
Title:
Office of Law Enforcement/Federal Air Marshal Service (OLE/FAMS) Mental Health Certification
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
02/14/2007
OIRA Conclusion Action:
Approved with change
Conclusion Date:
02/08/2007
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/25/2007
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2007
6 Months From Approved
Responses
10,000
0
0
Time Burden (Hours)
10,000
0
0
Cost Burden (Dollars)
3,900
0
0
Abstract:
In furtherance of TSAs authority to provide for deployment of Federal Air Marshals (FAMs) on passenger flights, and provide for appropriate training, supervision, and equipment of FAMs TSA policy requires that applicants for Office of Law Enforcement/ Federal Air Marshal positions meet certain medical standards, which includes a psychological evaluation. Applicants will be required to complete a certification regarding their mental health history and provide an explanation for anything they cannot certify. This certification is carefully geared to capitalize on other elements of the assessment process, such as personal interviews, physical task assessment, background investigation, as well as the other components of the medical examination and assessment.
Emergency Justfication:
In accordance with new Transportation Security Administration (TSA) Office of Law Enforcement/Federal Air Marshal Service hiring requirements, TSA requests immediate approval to collect this information via a Mental Health Certification from Federal Air Marshal applicants. In order to adequately protect the flying public, TSA must determine an applicants medical eligibility and conclude that there is no established medical history or diagnosis of personality disorders that clearly demonstrate a potential hazard to the performance of the Federal Air Marshal duties or the safety of self or others. Standard clearance procedures will prevent the immediate collection of necessary medical information, which will adversely affect the hiring of new Federal Air Marshals and encumber their operational deployment.
Authorizing Statute(s):
US Code:
49 USC 44917
Name of Law: ATSA
US Code:
49 USC 44901
Name of Law: ATSA
US Code:
49 USC 44903
Name of Law: ATSA
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
30-day Notice:
Federal Register Citation:
Citation Date:
71 FR 70524
12/05/2006
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
FAMS Mental Health Certification
TSA form 1164
Mental Health Certification
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
10,000
0
0
10,000
0
0
Annual Time Burden (Hours)
10,000
0
0
10,000
0
0
Annual Cost Burden (Dollars)
3,900
0
0
3,900
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The burden increase is due to the fact that this is a new collection.
Annual Cost to Federal Government:
$67,250
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Katrina Wawer 571 227-1995 katrina.wawer@dhs.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
01/25/2007
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