OMB control number
Transportation Security Officer Medical Questionnaire
OMB 1652-0032 · DHS/TSA.
OMB 1652-0032
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.
The latest form for Transportation Security Officer Medical Questionnaire expires 2026-12-31 and is listed under ICR 202606-1652-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form TSA Form 1137-1 TRANSPORTATION SECURITY OFFICER MEDICAL CLEARANCE | Form and Instruction |
| 1652-0032 TransspSOMQ Emergency ICR memo.pdf | Supplementary Document |
| OPMGOVT-5.pdf | Supplementary Document |
| OPMGOVT-10 System.pdf | Supplementary Document |
| SORN DHSTSA - 022 71 FR 40530 (7172006).pdf | Supplementary Document |
| 1652-0032 TranspSOMQ 30DN 88 FR 27524 (5.2.2023).pdf | Supplementary Document |
| 1652-0032 TranspSOMQ 60DN 88 FR 5903 (1.30.2023).pdf | Supplementary Document |
 1652-0032 TranspSOMQ SS.docx | Supporting Statement A |
| privacy_pia_tsa_hraccess[1].pdf | Supplementary Document |
 44 USC 44935.doc | Supplementary Document |
 TSO Medical Questionnaire |
Form and Instruction |
| Online TSO Medical Questionnaire |
Other-Screenshots |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202606-1652-003 | Revision of a currently approved collection | 2026-06-09 | Approved with change | |
| 202305-1652-001 | Extension without change of a currently approved collection | 2023-05-02 | Approved without change | |
| 201904-1652-001 | Revision of a currently approved collection | 2019-07-31 | Approved without change | |
| 201603-1652-002 | Extension without change of a currently approved collection | 2016-03-31 | Approved without change | |
| 201301-1652-006 | Reinstatement without change of a previously approved collection | 2013-01-29 | Approved with change | |
| 201203-1652-001 | Extension without change of a currently approved collection | 2012-03-30 | Withdrawn and continue | |
| 201001-1652-001 | Revision of a currently approved collection | 2010-01-22 | Approved without change | |
| 200608-1652-003 | Revision of a currently approved collection | 2006-09-25 | Approved without change | |
| 200503-1652-001 | New collection (Request for a new OMB Control Number) | 2005-03-01 | Approved without change |
OMB Details
Online TSO Medical Questionnaire
Federal Enterprise Architecture: Homeland Security - Border and Transportation Security