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:
1652-0032
ICR Reference No:
202609-1652-001
Status:
Active
Previous ICR Reference No:
202606-1652-003
Agency/Subagency:
DHS/TSA
Agency Tracking No:
Title:
Transportation Security Officer Medical Questionnaire
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
06/10/2026
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/15/2026
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/14/2026
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2026
12/31/2026
12/31/2026
Responses
36,000
0
36,000
Time Burden (Hours)
43,200
0
43,200
Cost Burden (Dollars)
3,486,680
0
3,486,680
Abstract:
This collection of information will assist the agency in ensuring that candidates under employment consideration for Transportation Security Officer (TSO) positions meet the qualification standards to successfully perform the functions of the position. The information will be collected from applicants for TSO positions to evaluate a candidate's current and past medical history including visual and aural acuity, physical coordination, and motor skills.
Emergency Justfication:
Without emergency approval, TSA will risk significant effects to the public’s ability to travel if airports are not able to screen passengers because they do not have sufficient front-line TSOs. TSA’s inability to timely hire TSOs in the needed numbers will translate to increased checkpoint wait times, longer security lines that pose a safety risk, negative impact on TSO moral as mandatory overtime will be necessary, and traveler frustration due to increased risk of flight impacts. The use of normal PRA clearance procedures is reasonably likely to result in public harm such that TSA would be hindered in its ability to hire TSOs in an expeditious manner using the new online solution and TSO Medical Clearance Form.
Authorizing Statute(s):
US Code:
49 USC 44935
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
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
Online TSO Medical Questionnaire
TSO Medical Clearance Form
TSA Form 1137-1
TRANSPORTATION SECURITY OFFICER MEDICAL CLEARANCE
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
36,000
36,000
0
0
0
0
Annual Time Burden (Hours)
43,200
43,200
0
0
0
0
Annual Cost Burden (Dollars)
3,486,680
3,486,680
0
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:
Annual Cost to Federal Government:
$3,488,850
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
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:
09/14/2026
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