Information Collection

United States Department of Transportation Service Animal Relief Attestation Form

IC 244783 under ICR 202403-2105-002 · OMB 2105-0576.

Documents and Forms

Documents and forms in this information collection
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 PRA - OST - 2105-0576 Service Animals Relief - Final 3.28.24.docx www.transportation.gov/sites/dot.gov/files/2020-12/Service%20Animal%20Relief%20Form.pdf	Form
DOT Form DOT Service Animal Relief Attestation Form PRA - OST - 2105-0576 Service Animals Relief - Final 3.28.24.docx www.transportation.gov/sites/dot.gov/files/2020-12/Service%20Animal%20Relief%20Form.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of 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	PRA - OST - 2105-0576 Service Animals Relief - Final 3.28.24.docx	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: 31,985

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	31,985	16,035	15,950
Annual IC Time Burden (Hours)	7,996	4,008	3,988
Annual IC Cost Burden (Dollars)	0	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.