Field Office - online registration, injury waiver and class roster

Crew Member Self-Defense Training - Registration and Evaluation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0028 can be found here:

Documents and Forms

Document Name Document Type
CMSDT online registration_feedback (2).pptx Other-screenshot
CMSDT online registration_feedback (2).pptx Other-screenshot
TSA Form 3417 CMSDT Program Attendance Roster TSA Form 3417, CMSDT Program Attendance Roster.docx Form
TSA Form 3417 CMSDT Program Attendance Roster TSA Form 3417, CMSDT Program Attendance Roster.docx Form
TSA Form 3418 CMSDT Limited Assumption of Risk and Waiver of Responsib TSA Form 3418, CMSDT Limited Assumption of Risk and Waiver of Responsibility.pdf Form and Instruction
TSA Form 3418 CMSDT Limited Assumption of Risk and Waiver of Responsib TSA Form 3418, CMSDT Limited Assumption of Risk and Waiver of Responsibility.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Field Office - online registration, injury waiver and class roster	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-screenshot			CMSDT online registration_feedback (2).pptx	Yes	Yes	Fillable Fileable
Form	TSA Form 3417	CMSDT Program Attendance Roster	TSA Form 3417, CMSDT Program Attendance Roster.docx	Yes	Yes	Fillable Fileable
Form and Instruction	TSA Form 3418	CMSDT Limited Assumption of Risk and Waiver of Responsibility	TSA Form 3418, CMSDT Limited Assumption of Risk and Waiver of Responsibility.pdf	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,050	1,050
Annual IC Time Burden (Hours)	105	105
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.