DHS TRIP Traveler Inquiry Form

DHS Traveler Redress Inquiry Program (DHS TRIP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0044 can be found here:

Documents and Forms

Document Name Document Type
TIF Screenshots.ppt www.dhs.gov/xlibrary/assets/DHSTRIP_Traveler_Inquiry_Form.pdf Other-PPT Screen Shots
TIF Form screenshot.ppt www.dhs.gov/xlibrary/assets/DHSTRIP_Traveler_Inquiry_Form.pdf Other-TIF Form Screenshot
Traveler Inquiry F Traveler Inquiry Form TIF final.docx www.dhs.gov/xlibrary/assets/DHSTRIP_Traveler_Inquiry_Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	DHS TRIP Traveler Inquiry Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 114(f) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-PPT Screen Shots			TIF Screenshots.ppt	http://www.dhs.gov/xlibrary/assets/DHSTRIP_Traveler_Inquiry_Form.pdf	Yes	Yes	Fillable Printable
Form and Instruction	Traveler Inquiry Form	Traveler Inquiry Form	TIF final.docx	http://www.dhs.gov/xlibrary/assets/DHSTRIP_Traveler_Inquiry_Form.pdf	Yes	Yes	Fillable Printable
Other-TIF Form Screenshot			TIF Form screenshot.ppt	http://www.dhs.gov/xlibrary/assets/DHSTRIP_Traveler_Inquiry_Form.pdf	Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15,000	-47,000	62,000
Annual IC Time Burden (Hours)	15,000	-47,000	62,000
Annual IC Cost Burden (Dollars)	3,375	-10,575	13,950

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.