Information Collection

Field Office - online registration, injury waiver and class roster

IC 249267 under ICR 202109-1652-004 · OMB 1652-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0028 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CMSDT online registration_feedback (2).pptx	Other-screenshot
CMSDT online registration_feedback (2).pptx	Other-screenshot
TSA Form 3417 CMSDT Program Attendance Roster TSA Form 3417, CMSDT Program Attendance Roster.docx	Form
TSA Form 3417 CMSDT Program Attendance Roster TSA Form 3417, CMSDT Program Attendance Roster.docx	Form
TSA Form 3418 CMSDT Limited Assumption of Risk and Waiver of Responsib TSA Form 3418, CMSDT Limited Assumption of Risk and Waiver of Responsibility.pdf	Form and Instruction
TSA Form 3418 CMSDT Limited Assumption of Risk and Waiver of Responsib TSA Form 3418, CMSDT Limited Assumption of Risk and Waiver of Responsibility.pdf	Form and Instruction

IC Title:

Field Office - online registration, injury waiver and class roster

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-screenshot			CMSDT online registration_feedback (2).pptx	Yes	Yes	Fillable Fileable
Form	TSA Form 3417	CMSDT Program Attendance Roster	TSA Form 3417, CMSDT Program Attendance Roster.docx	Yes	Yes	Fillable Fileable
Form and Instruction	TSA Form 3418	CMSDT Limited Assumption of Risk and Waiver of Responsibility	TSA Form 3418, CMSDT Limited Assumption of Risk and Waiver of Responsibility.pdf	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,050	1,050
Annual IC Time Burden (Hours)	105	105
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.