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United States Department of Transportation Service Animal Relief Attestation Form
Reporting Requirements for Traveling by Air with Service Animals
OMB: 2105-0576
IC ID: 244783
OMB.report
DOT/OST
OMB 2105-0576
ICR 202403-2105-002
IC 244783
( )
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
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
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
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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
31,985
0
16,035
0
0
15,950
Annual IC Time Burden (Hours)
7,996
0
4,008
0
0
3,988
Annual IC Cost Burden (Dollars)
0
0
0
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.