Crew Member Self-Defense Training - Registration and Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TSA Form 3417 CMSDT Program Attendance Roster	Form and Instruction	New	Available
Form TSA Form 3417 Airline Training Center - Class roster	Form and Instruction	New	Repair queued
Form TSA Form 3418 CMSDT Limited Assumption of Risk and Waiver of Responsibility	Form and Instruction	New	Repair queued
Form TSA Form 3417 CMSDT Program Attendance Roster	Form	New	Available
Form TSA Form 1915A CMSDT LIMITED ASSUMPTION OF RISK AND WAIVER OF RESPONSIBILITY	Form and Instruction	Removed	Available
Form TSA Form 1915 CMSDT Program Attendance Roster	Form	Removed	Repair queued
Form TSA Form 1915 Crew Member Class Roster and Injury Waiver Form	Form	Removed	Repair queued
1652-0028 CMSDT_30DN_86 54228 (9.30.2021).pdf	Supplementary Document	Uploaded 2021-09-30	Repair queued
1652-0028 CMSDT_SS 9.30.2021.docx	Supporting Statement A	Uploaded 2021-09-30	Repair queued
49 USC 44918(b).pdf	Supplementary Document	Uploaded 2018-05-04	Repair queued
CMSDT_PIA 72013.pdf	Supplementary Document	Uploaded 2018-04-23	Repair queued
1652-0028 CMSDT_60DN_86 FR 23420 (5.3.2021).pdf	Supplementary Document	Uploaded 2021-09-14	Repair queued
CMSDT-PIA.pdf	Supplementary Document	Uploaded 2011-10-24	Repair queued
CMSDT SORN 73 FR 71656 (11.25.2008).pdf	Supplementary Document	Uploaded 2018-05-04	Repair queued
108pub176_603.pdf	Supplementary Document	Uploaded 2018-05-04	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249269	Airline Training Center - Class roster	Form and Instruction	New	CMSDT Program Attendance Roster
249269	Airline Training Center - Class roster	Form and Instruction	New
249267	Field Office - online registration, injury waiver and class roster	Form and Instruction	New	CMSDT Limited Assumption of Risk and Waiver of Responsibility
249267	Field Office - online registration, injury waiver and class roster	Form	New	CMSDT Program Attendance Roster
249267	Field Office - online registration, injury waiver and class roster	Other-screenshot	New
231178	Online registration	Other-Screenshots	Removed
20954	Crew Member Class Roster and Injury Waiver Form	Form and Instruction	Removed	CMSDT LIMITED ASSUMPTION OF RISK AND WAIVER OF RESPONSIBILITY
20954	Crew Member Class Roster and Injury Waiver Form	Form	Removed	CMSDT Program Attendance Roster
20954	Crew Member Class Roster and Injury Waiver Form	Form	Removed
185443	Crew Member Self Defense Training Feedback Tab	Other-screenshots	Modified

ICR Details

OMB Control No: 1652-0028	ICR Reference No: 202109-1652-004
Status: Historical Active	Previous ICR Reference No: 201804-1652-001
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: Crew Member Self-Defense Training - Registration and Evaluation
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/01/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/30/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2024	36 Months From Approved	04/30/2022
Responses	1,203	0	6,800
Time Burden (Hours)	111	0	594
Cost Burden (Dollars)	0	0	0

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Abstract: The Crew Member Self-Defense Training Program enables TSA to train volunteer flight attendants, pilots, flight engineers, and navigators to defend themselves on an aircraft. Information collected as the result of this proposal would be used to register and enroll volunteer in self-defense training programs and obtain feedback from trainees on the quality of the training they received.

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Authorizing Statute(s): PL: Pub.L. 108 - 176 603 Name of Law: Vision 100--Century of Aviation Reauthorization Act
   US Code: 49 USC 44918(b) Name of Law: Crew Training
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 23420	05/03/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 54228	09/30/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Airline Training Center - Class roster	TSA Form 3417	CMSDT Program Attendance Roster
Crew Member Class Roster and Injury Waiver Form	TSA Form 1915, TSA Form 1915A	CMSDT Program Attendance Roster ,   CMSDT LIMITED ASSUMPTION OF RISK AND WAIVER OF RESPONSIBILITY
Crew Member Self Defense Training Feedback Tab
Field Office - online registration, injury waiver and class roster	TSA Form 3417, TSA Form 3418	CMSDT Program Attendance Roster ,   CMSDT Limited Assumption of Risk and Waiver of Responsibility
Online registration

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,203	6,800	0	-2,650	-2,947	0
Annual Time Burden (Hours)	111	594	0	-311	-172	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Since the previous Information Collection Request submission, TSA has been conducting most (70 percent) of this training at airline training centers. This has eliminated the need for individuals to enroll online, as the airlines provide a roster of their employees participating in the course. This also eliminated the need for Injury Waiver forms, as training at airline training centers is on airline property, not federal government property. Individual enrollments and Injury Waiver forms are now done only when training occurs at LE/FAMS field offices. Use of the Feedback tab occurs at the LE/FAMS field offices and not at the airline training centers. As a result, the response to the Feedback tab has reduced significantly as few individuals provide comments. TSA also removed costs that were not directly attributable to the information collection in Item 14.

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Annual Cost to Federal Government: $15,015

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/30/2021

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