Information Collection

Field Office - online registration, injury waiver and class roster

IC 249267 under ICR 202405-1652-002 · OMB 1652-0028.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA Form 3417 CMSDT Program Attendance Roster Field Office - online registration, injury waiver and class roster	Form
Form TSA Form 3418 CMSDT Limited Assumption of Risk and Waiver of Responsibility Field Office - online registration, injury waiver and class roster	Form and Instruction
CMSDT online registration_feedback 9.4.2024.pptx www.tsa.gov/for-industry/training/crew-member-self-defense	Other-screenshot
TSA Form 3417 CMSDT Program Attendance Roster TSA Form 3417, CMSDT Program Attendance Roster.pdf	Form
TSA Form 3418 CMSDT Limited Assumption of Risk and Waiver of Responsib TSA Form 3418, CMSDT Limited Assumption of Risk and Waiver of Responsibility.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-screenshot			CMSDT online registration_feedback 9.4.2024.pptx	https://www.tsa.gov/for-industry/training/crew-member-self-defense	Yes	Yes	Fillable Fileable
Form	TSA Form 3417	CMSDT Program Attendance Roster	TSA Form 3417, CMSDT Program Attendance Roster.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	TSA Form 3418	CMSDT Limited Assumption of Risk and Waiver of Responsibility	TSA Form 3418, CMSDT Limited Assumption of Risk and Waiver of Responsibility.pdf		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: 11,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	495	-555	1,050
Annual IC Time Burden (Hours)	50	-55	105
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.