View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1652-0043	ICR Reference No: 202305-1652-002
Status: Active	Previous ICR Reference No: 201906-1652-001
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: Law Enforcement/Federal Air Marshal Service (OLE/FAMS) Physical and Mental Health Certification
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/02/2023
	Date Received in OIRA: 05/02/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2026	36 Months From Approved	09/30/2023
Responses	300	0	1,800
Time Burden (Hours)	225	0	900
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	300	1,800	-1,500
Annual Time Burden (Hours)	225	900	-675
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are no program changes. However, TSA adjusted the respondents for accuracy. In previous ICRs, TSA included TSA FAMS in the number of respondents. TSA is correcting the burden to show only actual members of the public who complete the forms, such as applicants and medical providers. TSA is also including travel and waiting times within the annual burden..

Annual Cost to Federal Government: $1,272

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Christina Walsh 571 227-2062 christina.walsh@tsa.dhs.gov

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