Information Collection

Request For Airport Escort Screening Courtesies

IC 214059 under ICR 201601-1405-003 · OMB 1405-0105.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0105 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-4138 REQUEST FOR AIRPORT ESCORT SCREENING COURTESIES	Form and Instruction
DS-4138 REQUEST FOR AIRPORT ESCORT SCREENING COURTESIES DS-4138 (11-2014).pdf	Form and Instruction
DS-4138 Request for Airport Escort Screening Courtesies DS4138_Jan.pdf	Form
OMB letter AESC transfer.docx Justification of non-substantive change	IC Document

IC Title:

REQUEST FOR AIRPORT ESCORT SCREENING COURTESIES

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-4138	REQUEST FOR AIRPORT ESCORT SCREENING COURTESIES	DS-4138 (11-2014).pdf		Yes	Yes	Fillable Fileable
Form	DS-4138	Request for Airport Escort Screening Courtesies	DS4138_Jan.pdf		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 453

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,285	3,285
Annual IC Time Burden (Hours)	548	548
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification of non-substantive change	OMB letter AESC transfer.docx	01/20/2016

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