Information Collection

Security Threat Assessment (STA)

IC 190338 under ICR 202402-1652-002 · OMB 1652-0040.

Documents and Forms

Document Name Document Type
Form TSA Form 419F Security Threat Assessment (STA) Form and Instruction
TSA Form 419F Security Threat Assessment TSA-Form419FFINALv240214.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 419F	Security Threat Assessment	TSA-Form419FFINALv240214.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Transportation STA System	FR Citation: 79 FR 46862

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 %

	Requested	Previously Approved
Annual Number of Responses for this IC	98,500	98,500
Annual IC Time Burden (Hours)	24,625	24,625
Annual IC Cost Burden (Dollars)	4,038,500	4,038,500

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.