OMB control number

Law Enforcement/Federal Air Marshal Service (OLE/FAMS) Physical and Mental Health Certification

OMB 1652-0043 · DHS/TSA.

OMB 1652-0043

In furtherance of TSA's authority to provide for deployment of Federal Air Marshals (FAMs) on passenger flights, and provide for appropriate training, supervision, and equipment of FAMs TSA policy requires that applicants for Law Enforcement/ Federal Air Marshal positions meet certain medical standards. The medical guidelines ensure a level of health status and physical and psychological fitness for this public safety law enforcement position which requires a high degree of responsibility. Medical guidelines are based on cognitive, physical, psychomotor, and psychological abilities related to the essential job functions of a FAM

The latest form for Law Enforcement/Federal Air Marshal Service (OLE/FAMS) Physical and Mental Health Certification expires 2026-10-31 and is listed under ICR 202305-1652-002.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form TSA Form 1164 Mental Health Certification	Form and Instruction
Form TSA Form 1164 Mental Health Certification	Form and Instruction
Form TSA Form 1133-3 Practical Exercise Performance Requirements	Form and Instruction
Form TSA Form 1163 Treating Physician Status Report	Form and Instruction
Form TSA Form 1163 Applicants' Time Waiting as Healthcare Provider Completes Forms	Form and Instruction
Form TSA Form 1133-3 Practical Exercise Performance Requirements	Form and Instruction
Form TSA Form 1163 Treating Physician Status Report	Form and Instruction
Form TSA Form 1163 Applicants Travel Time	Form and Instruction
Form TSA Form 1163 Treating Physician Status Report	Form and Instruction
Form TSA Form 1163 Treating Physician Status Report	Form and Instruction
Form TSA Form 1133-3 Practical Exercise Performance Requirements	Form and Instruction
Form TSA Form 1133-3 Practical Exercise Performance Requirements (PEPR) form	Form and Instruction
privacy-pia-dhs-all043-hiring and onboarding-april2017.pdf	Supplementary Document
opm-sorn-govt-5-recruiting-examining-and-placement-records.pdf	Supplementary Document
1652-0043 LEFAMS PMHC 30DN_88 FR 27525 (5.2.2023).pdf	Supplementary Document
1652-0043 LEFAMS PMHC 60DN 83 FR 62878 (12.6.2018).pdf	Supplementary Document
1652-0043 LEFAMS PMHC SS 5.2.2023.docx	Supporting Statement A
DHS-TSA 001.pdf	Supplementary Document
OPM-GOVT-10%20-%20Medical%20Records[1].pdf	Supplementary Document
49 USC 44917[1].doc	Supplementary Document
49 USC 44903[1].doc	Supplementary Document
49 USC 44901[1].doc	Supplementary Document
Mental Health Certification	Form and Instruction
Mental Health Certification	Form and Instruction
Applicants' Time Waiting as Healthcare Provider Completes Forms	Form and Instruction
Applicants' Time Waiting as Healthcare Provider Completes Forms	Form and Instruction
Applicants' Time Waiting as Healthcare Provider Completes Forms	Form and Instruction
Applicants Travel Time	Form and Instruction
Applicants Travel Time	Form and Instruction
Applicants Travel Time	Form and Instruction
Treating Physician Status Report	Form and Instruction
Treating Physician Status Report	Form and Instruction
Practical Exercise Performance Requirements (PEPR) form	Form and Instruction
Practical Exercise Performance Requirements (PEPR) form	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202305-1652-002	Extension without change of a currently approved collection	2023-05-02	Approved without change
201906-1652-001	Revision of a currently approved collection	2019-07-31	Approved without change
201601-1652-004	Extension without change of a currently approved collection	2016-03-01	Approved without change
201210-1652-002	Extension without change of a currently approved collection	2012-12-31	Approved without change
201009-1652-001	Extension without change of a currently approved collection	2010-10-19	Approved with change
200708-1652-004	Revision of a currently approved collection	2007-08-29	Approved without change
200612-1652-002	New collection (Request for a new OMB Control Number)	2007-01-25	Approved with change

OMB Details

Mental Health Certification

Federal Enterprise Architecture: Homeland Security - Border and Transportation Security

Information collection instruments
Form	Name	Electronic access	Type
Form TSA Form 1164	Mental Health Certification	Fillable Fileable	Form and instruction

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