Information Collection

United States Department of Transportation Service Animal Relief Attestation Form

IC 244783 under ICR 202312-2105-002 · OMB 2105-0576.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0576 can be found here:

Documents and Forms

Document Name Document Type
Form DOT Form United States Department of Transportation Service Animal Relief Attestation Form Form
DOT Form DOT Service Animal Relief Attestation Form Service Animal Relief Form.pdf www.transportation.gov/sites/dot.gov/files/2020-12/Service%20Animal%20Relief%20Form.pdf Form
DOT Form DOT Service Animal Relief Attestation Form Service Animal Relief Form.pdf www.transportation.gov/sites/dot.gov/files/2020-12/Service%20Animal%20Relief%20Form.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	United States Department of Transportation Service Animal Relief Attestation Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DOT Form	DOT Service Animal Relief Attestation Form	Service Animal Relief Form.pdf	https://www.transportation.gov/sites/dot.gov/files/2020-12/Service%20Animal%20Relief%20Form.pdf	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,950	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15,950	15,950
Annual IC Time Burden (Hours)	3,988	3,988
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.