Information Collection

Waiver Applications

IC 259674 under ICR 202410-1652-004 · OMB 1652-0077.

Documents and Forms

Document Name Document Type
TSA-mDL_Instructions_.pdf Instruction
TSA-mDL_Instructions_.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Waiver Applications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 6 CFR 37

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			TSA-mDL_Instructions_.pdf		Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	10	0	10
Annual IC Time Burden (Hours)	200	0	200
Annual IC Cost Burden (Dollars)	269,740	-55,260	325,000

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.