Crew Member Class Roster and Injury Waiver Form

Crew Member Self-Defense Training - Registration and Evaluation

Documents and Forms

Document Name Document Type
Form TSA Form 1915 Crew Member Class Roster and Injury Waiver Form Form
TSA Form 1915 CMSDT Program Attendance Roster TSA-Form1915FINALv180308.pdf www.tsa.gov/webform/crew-member-self-defense-registration-request Form
TSA Form 1915 CMSDT Program Attendance Roster TSA-Form1915FINALv180308.pdf www.tsa.gov/webform/crew-member-self-defense-registration-request Form
TSA Form 1915A CMSDT LIMITED ASSUMPTION OF RISK AND WAIVER OF RESPONSIB TSA-Form1915AFINALv180316.pdf www.tsa.gov/for-industry/training Form and Instruction
TSA Form 1915A CMSDT LIMITED ASSUMPTION OF RISK AND WAIVER OF RESPONSIB TSA-Form1915AFINALv180316.pdf www.tsa.gov/for-industry/training Form and Instruction

Information Collection (IC) Details

IC Title:	Crew Member Class Roster and Injury Waiver Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Form	TSA Form 1915	CMSDT Program Attendance Roster	TSA-Form1915FINALv180308.pdf	https://www.tsa.gov/webform/crew-member-self-defense-registration-request	Yes	Yes	Fillable Fileable Signable
Form and Instruction	TSA Form 1915A	CMSDT LIMITED ASSUMPTION OF RISK AND WAIVER OF RESPONSIBILITY	TSA-Form1915AFINALv180316.pdf	https://www.tsa.gov/for-industry/training	Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS General Training Records	FR Citation: 73 FR 71656

Number of Respondents: 1,700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,700	1,700
Annual IC Time Burden (Hours)	-28	28
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.