Practical Exercise Performance Requirements (PEPR) form

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0043 can be found here:

Documents and Forms

Document Name Document Type
Form TSA Form 1133-3 Practical Exercise Performance Requirements (PEPR) form Form and Instruction
TSA Form 1133-3 Practical Exercise Performance Requirements TSA Form 1133-3, Practical Exercise Performance Requirements 6.26.2019.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Practical Exercise Performance Requirements (PEPR) form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TSA Form 1133-3	Practical Exercise Performance Requirements	TSA Form 1133-3, Practical Exercise Performance Requirements 6.26.2019.docx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Transportation Security Enforcement Record System	FR Citation: 75 FR 28042

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.