TSA End of Course Level 1 Evaluation – Instructor-Led Classroom Training

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TSA Form 1904 A End-Of-Course Level 1 Evaluation - Instructor-Led Classroom Training for Students who are not TSA Employees	Form and Instruction	Modified	Available
Form TSA Form 1904 A Evaluation Form	Form and Instruction	Modified	Missing upstream
1652-0041 TSA EOCL1Evaln SS.docx	Supporting Statement A	Uploaded 2025-04-23	Available
1652-0041 TSA EOCL1Evaln SS.docx	Supporting Statement A	Uploaded 2025-04-23	Available
1652-0041 TSA EOCL1Evaln 30DN_90 FR 17076 (4.23.2025).pdf	Supplementary Document	Uploaded 2025-04-23	Available
1652-0041 TSA EOCL1Evaln 30DN_90 FR 17076 (4.23.2025).pdf	Supplementary Document	Uploaded 2025-04-23	Repair queued
1652-0041 TSA EOCL1Evaln 60DN_89 FR 96664 (12.5.2024).pdf	Supplementary Document	Uploaded 2025-03-21	Available
1652-0041 TSA EOCL1Evaln 60DN_89 FR 96664 (12.5.2024).pdf	Supplementary Document	Uploaded 2025-03-21	Repair queued
GPRA Pub.L.103-62.pdf	Supplementary Document	Uploaded 2018-07-02	Available
GPRA Pub.L.103-62.pdf	Supplementary Document	Uploaded 2018-07-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191855	Evaluation Form	Form and Instruction	Modified	End-Of-Course Level 1 Evaluation - Instructor-Led Classroom Training for Students who are not TSA Employees
191855	Evaluation Form	Form and Instruction	Modified

ICR Details

OMB Control No: 1652-0041	ICR Reference No: 202503-1652-004
Status: Active	Previous ICR Reference No: 202204-1652-002
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: TSA End of Course Level 1 Evaluation – Instructor-Led Classroom Training
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/24/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/23/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2028	36 Months From Approved	08/31/2025
Responses	156	0	156
Time Burden (Hours)	78	0	78
Cost Burden (Dollars)	0	0	0

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Abstract: Consistent with requirements in the Government Performance and Results Act of 1993 (GPRA) (Pub. L. 103-62; 107 Stat. 285, Aug. 3, 1993), the TSA Canine Training Center (CTC) evaluates the instruction it delivers, through a range of courses, to train canines and their handlers. These handlers are primarily TSA personnel and State and local civilian personnel working for law enforcement agencies that are responsible for the security at airports throughout the United States. These agencies participate in this classroom training under agency-specific cooperative agreements with TSA’s National Explosives Detection Canine Team Program. The courses include the CTC Explosives Detection Canine Handler Course, Passenger Screening Canine Handler Course, Bridge Course, Canine Training Instructor Course, and the Security Operations Canine Management Course. The information obtained from TSA Form 1904A, End of Course Level 1 Evaluation – Instructor-Led Classroom Training, which is provided to students following course completion, provides valuable feedback about the extent to which TSA personnel and State and local civilian personnel (“TSA students”) are satisfied with their learning experience, and is used to improve the course curriculum and course of instruction. Evaluating and improving the effectiveness and efficiency of instructional programs supports agency requirements, as dictated by GPRA, to improve government performance management.

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Authorizing Statute(s): PL: Pub.L. 103 - 62 2 Name of Law: Government Performance and Results Act of 1993
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 96664	12/05/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 17076	04/23/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Evaluation Form	TSA Form 1904 A	End-Of-Course Level 1 Evaluation - Instructor-Led Classroom Training for Students who are not TSA Employees

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	156	156	0	0	0	0
Annual Time Burden (Hours)	78	78	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $71,939

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/23/2025

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