Airline Training Center - Class roster

Crew Member Self-Defense Training - Registration and Evaluation

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form TSA Form 3417 Airline Training Center - Class roster Form and Instruction
TSA Form 3417 CMSDT Program Attendance Roster TSA Form 3417, CMSDT Program Attendance Roster.docx Form and Instruction
TSA Form 3417 CMSDT Program Attendance Roster TSA Form 3417, CMSDT Program Attendance Roster.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Airline Training Center - 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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TSA Form 3417	CMSDT Program Attendance Roster	TSA Form 3417, CMSDT Program Attendance Roster.docx		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 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	150	2,450	-2,300
Annual IC Time Burden (Hours)	5	0	5
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.