TSA Claims Management Branch Program

TSA Claims Management Branch Program

OMB: 1652-0039

IC ID: 43964

Information Collection (IC) Details

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TSA Claims Management Branch Program 1652-0039
 
No Modified
 
Voluntary
 
28 CFR 14.2

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMB 6-1-10 Claim Settlement Letter 0-0-2-Settlement.docx No   Paper Only
Form 95-109 Claim for Damage Injury or Death sf_95_cover_package_revised_07-08-15-508.pdf www.tsa.gov Yes Yes Fillable Printable

Homeland Security Border and Transportation Security

 

10,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 10,000 0 -2,000 0 0 12,000
Annual IC Time Burden (Hours) 5,000 0 -1,000 0 0 6,000
Annual IC Cost Burden (Dollars) 14,800 0 -2,960 0 0 17,760

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