Civil Rights and Disability

TSA Customer Comment Card

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0030 can be found here:

Documents and Forms

Document Name Document Type
CRL_OTE Online Complaint Form.pptx www.tsa.gov/contact/contact-forms Other-Screenshots

Information Collection (IC) Details

IC Title:	Civil Rights and Disability	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots			CRL_OTE Online Complaint Form.pptx	www.tsa.gov/contact/contact-forms	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: 17,519	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	17,519	16,769	750
Annual IC Time Burden (Hours)	2,920	2,545	375
Annual IC Cost Burden (Dollars)	0	0	0

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.