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Treating Physician Status Report
Law Enforcement/Federal Air Marshal Service (OLE/FAMS) Physical and Mental Health Certification
OMB: 1652-0043
IC ID: 236329
OMB.report
DHS/TSA
OMB 1652-0043
ICR 202305-1652-002
IC 236329
( )
Documents and Forms
Document Name
Document Type
Form TSA Form 1163
Treating Physician Status Report
Form and Instruction
TSA Form 1163 Treating Physician Status Report
TSA Form 1163, Treating Physician Status Report.pdf
Form and Instruction
Information Collection (IC) Details
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