Information Collection

Security Threat Assessment (STA)

IC 190338 under ICR 201603-1652-003 · OMB 1652-0040.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0040 can be found here:

Documents and Forms

Document Name Document Type
Form TSA Form Number 41 Security Threat Assessment (STA) Form and Instruction
TSA Form Number 41 Security Threat Assessment Applicaton TSA Form 419F FINAL 160602.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Security Threat Assessment (STA)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1546.213 49 CFR 1548.15,16 49 CFR 1544.228

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 Number 419F	Security Threat Assessment Applicaton	TSA Form 419F FINAL 160602.pdf		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 98,500	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	Previously Approved
Annual Number of Responses for this IC	98,500	30,446	68,054
Annual IC Time Burden (Hours)	24,625	7,611	17,014
Annual IC Cost Burden (Dollars)	4,038,500	4,038,500	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.