United States Department of Transportation Service Animal Relief Attestation Form

REPORTING REQUIREMENTS FOR TRAVELING BY AIR WITH SERVICE ANIMALS

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0576 can be found here:

Documents and Forms

Document Name Document Type
Form 2105-NEW (Relief) United States Department of Transportation Service Animal Relief Attestation Form Form
2105-NEW (Relief) United States Department of Transportation Service Anima PRA - OST - 2105-NEW (Service Animals) - Form (Relief) - 121720.doc.docx Form

Information Collection (IC) Details

IC Title:	United States Department of Transportation Service Animal Relief Attestation Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2105-NEW (Relief)	United States Department of Transportation Service Animal Relief Attestation Form	PRA - OST - 2105-NEW (Service Animals) - Form (Relief) - 121720.doc.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,950	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,950	15,950
Annual IC Time Burden (Hours)	3,988	3,988
Annual IC Cost Burden (Dollars)	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.