Information Collection Request

Transportation Security Officer Medical Questionnaire

ICR 202606-1652-003 · OMB 1652-0032 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form TSA Form 1137-1 TRANSPORTATION SECURITY OFFICER MEDICAL CLEARANCE Form and Instruction New Available
1652-0032 TransspSOMQ Emergency ICR memo.pdf Supplementary Document Uploaded 2026-06-09 Available
OPMGOVT-5.pdf Supplementary Document Uploaded 2016-05-04 Available
OPMGOVT-10 System.pdf Supplementary Document Uploaded 2016-05-04 Available
SORN DHSTSA - 022 71 FR 40530 (7172006).pdf Supplementary Document Uploaded 2016-05-04 Available
1652-0032 TranspSOMQ 30DN 88 FR 27524 (5.2.2023).pdf Supplementary Document Uploaded 2023-05-02 Available
1652-0032 TranspSOMQ 60DN 88 FR 5903 (1.30.2023).pdf Supplementary Document Uploaded 2023-05-01 Available
1652-0032 TranspSOMQ SS.docx Supporting Statement A Uploaded 2026-06-08 Available
privacy_pia_tsa_hraccess[1].pdf Supplementary Document Uploaded 2010-01-15 Available
44 USC 44935.doc Supplementary Document Uploaded 2006-09-15 Source copy available
IC Document Collections
IC IDCollectionTypeStatusForm
280827 TSO Medical Questionnaire Form and Instruction NewTRANSPORTATION SECURITY OFFICER MEDICAL CLEARANCE
191700 Online TSO Medical Questionnaire Other-Screenshots Modified
ICR Details
1652-0032 202606-1652-003
Active 202305-1652-001
DHS/TSA
Transportation Security Officer Medical Questionnaire
Revision of a currently approved collection   No
Emergency 06/10/2026
Approved with change 06/09/2026
Retrieve Notice of Action (NOA) 06/09/2026
The agency clarified the reasons for its request under 5 CFR 1320.13.
  Inventory as of this Action Requested Previously Approved
12/31/2026 6 Months From Approved 10/31/2026
36,000 0 22,500
43,200 0 37,125
3,486,680 0 0

This collection of information will assist the agency in ensuring that candidates under employment consideration for Transportation Security Officer (TSO) positions meet the qualification standards to successfully perform the functions of the position. The information will be collected from applicants for TSO positions to evaluate a candidate's current and past medical history including visual and aural acuity, physical coordination, and motor skills.
Without emergency approval, TSA will risk significant effects to the public’s ability to travel if airports are not able to screen passengers because they do not have sufficient front-line TSOs. TSA’s inability to timely hire TSOs in the needed numbers will translate to increased checkpoint wait times, longer security lines that pose a safety risk, negative impact on TSO moral as mandatory overtime will be necessary, and traveler frustration due to increased risk of flight impacts. The use of normal PRA clearance procedures is reasonably likely to result in public harm such that TSA would be hindered in its ability to hire TSOs in an expeditious manner using the new online solution and TSO Medical Clearance Form.

US Code: 49 USC 44935
  
None

Not associated with rulemaking

No

2
IC Title Form No. Form Name
Online TSO Medical Questionnaire
TSO Medical Questionnaire TSA Form 1137-1 TRANSPORTATION SECURITY OFFICER MEDICAL CLEARANCE

  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 36,000 22,500 0 13,500 0 0
Annual Time Burden (Hours) 43,200 37,125 0 6,075 0 0
Annual Cost Burden (Dollars) 3,486,680 0 0 3,486,680 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
TSA is seeking emergency approval of the revised information collection to replace the prior paper-based SOMQ with the online SOMQ and add the new TSO Medical Clearance Form because delays attributable to the current hiring solution have significantly impacted TSA’s ability to hire sufficient front-line TSOs in many locations. TSA adjusted the number of respondents from 22,500 to 18,000 to more accurately reflect the agency’s current anticipated hiring needs. The annual time burden to respondents has been updated to incorporate the most recent wage data (e.g., the hourly wage rate for TSO candidates). Time burden estimates now reflect a 15-minute reduction resulting from the completion of the SOMQ form online. This form had previously been provided in a written format. In addition, time costs have been updated to account for expenses associated with operating a vehicle to and from the medical appointment. TSA has moved away from using a TSA contracted medical provider to conduct the TSO candidates’ medical exam. As such, the federal cost burden has changed. The government cost no longer includes $2,531,250 in annual fees paid to a contracted medical provider. However, TSO candidates will now incur an out-of-pocket cost to use a local health care provider to conduct a medical exam and complete the new Medical Clearance Form. TSA estimates the cost burden to TSO candidates for medical exams at approximately $2,700,000 (18,000 exams x $150 per exam). Since TSA staff will now be responsible for processing the SOMQ and Medical Clearance Form, cost estimates have been updated to account for the time required by an I-band employee to conduct the necessary review of these medical forms.

$3,488,850
No
    Yes
    Yes
No
No
No
No
Christina Walsh 571 227-2062 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/09/2026