Crew Member Self-Defense Training - Registration and Evaluation

OMB 1652-0028

The Crew Member Self-Defense Training Program enables TSA to train volunteer flight attendants, pilots, flight engineers, and navigators to defend themselves on an aircraft. Information collected as the result of this proposal would be used to register and enroll volunteer in self-defense training programs and obtain feedback from trainees on the quality of the training they received.

The latest form for Crew Member Self-Defense Training - Registration and Evaluation expires 2022-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form TSA Form 3417 Airline Training Center - Class roster Form and Instruction
Form TSA Form 1915 Crew Member Class Roster and Injury Waiver Form Form
1652-0028 CMSDT_30DN_86 54228 (9.30.2021).pdf Supplementary Document
1652-0028 CMSDT_SS 9.30.2021.docx Supporting Statement A
49 USC 44918(b).pdf Supplementary Document
CMSDT_PIA 72013.pdf Supplementary Document
1652-0028 CMSDT_60DN_86 FR 23420 (5.3.2021).pdf Supplementary Document
CMSDT-PIA.pdf Supplementary Document
CMSDT SORN 73 FR 71656 (11.25.2008).pdf Supplementary Document
108pub176_603.pdf Supplementary Document
Airline Training Center - Class roster Form and Instruction
Field Office - online registration, injury waiver and class roster Other-screenshot
Online registration Other-Screenshots
Crew Member Class Roster and Injury Waiver Form Form
Crew Member Self Defense Training Feedback Tab Other-screenshots

OMB Details

Crew Member Class Roster and Injury Waiver Form

Federal Enterprise Architecture: Homeland Security - Border and Transportation Security

Form TSA Form 1915	CMSDT Program Attendance Roster	www.tsa.gov/webform/crew-member-self-defense-registration-request	Form
Form TSA Form 1915A	CMSDT LIMITED ASSUMPTION OF RISK AND WAIVER OF RESPONSIBILITY	www.tsa.gov/for-industry/training	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.

202109-1652-004 Approved without change	Extension without change of a currently approved collection	2021-09-30
201804-1652-001 Approved without change	Revision of a currently approved collection	2018-07-05
201501-1652-001 Approved without change	Revision of a currently approved collection	2015-04-29
201110-1652-002 Approved without change	Revision of a currently approved collection	2011-10-31
200806-1652-002 Approved without change	Extension without change of a currently approved collection	2008-07-24
200504-1652-001 Approved without change	Extension without change of a currently approved collection	2005-04-25
200412-1652-002 Approved without change	New collection (Request for a new OMB Control Number)	2004-12-30