Information Collection

TSA Agent States _ Online renewal

IC 250998 under ICR 202112-1652-003 · OMB 1652-0027.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0027 can be found here:

Documents and Forms

Document Name Document Type
HME IC-PRA_2021_Mock-up_1.4.2022.pptx Other-Screenshots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TSA Agent States _ Online renewal	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 1572

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots			HME IC-PRA_2021_Mock-up_1.4.2022.pptx		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: 103,473	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	102,438	102,438
Annual IC Time Burden (Hours)	32,439	32,439
Annual IC Cost Burden (Dollars)	6,914,565	6,914,565

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.