View Information Collection Request (ICR) Package

View ICR - Agency Submission

Comment Period Closed - Comments are accepted for the first 30 days of OIRA's review. See FAQ page for more information.

OMB Control No: 1652-0043	ICR Reference No: 202605-1652-001
Status: Received in OIRA	Previous ICR Reference No: 202305-1652-002
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	Date Submitted to OIRA: 09/04/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2026
Responses	250	300
Time Burden (Hours)	221	225
Cost Burden (Dollars)	1,273	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	250	300	0	-50
Annual Time Burden (Hours)	221	225	21	-25
Annual Cost Burden (Dollars)	1,273	0	1,273	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: There are no program changes. However, to more precisely capture burden and costs, TSA has estimated an hour burden associated with the applicant’s travel to and from the healthcare provider’s office, as well as time spent at the appointment. TSA has also estimated out-of-pocket travel costs that applicants will incur as a result of their travel to and from the appointment. The annual cost to respondents has been updated to incorporate the most recent general public and healthcare provider wage data. TSA has also updated its estimates of the federal cost burden to more accurately reflect the anticipated number of forms requiring review, raising the annual total from 200 to 300.

Annual Cost to Federal Government: $2,366

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

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.