Information Collection

TFSSP/PCSSP STA Applications

IC 220688 under ICR 202406-1652-001 · OMB 1652-0003.

Documents and Forms

Document Name Document Type
Form TSA 419F TFSSP/PCSSP STA Applications Form
TSA 419F APPLICATION FOR NEW OR RENEWAL SECURITY THREAT ASSESSMEN TSA-Form419FFINALv240214.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TFSSP/PCSSP STA Applications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1544

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	TSA 419F	APPLICATION FOR NEW OR RENEWAL SECURITY THREAT ASSESSMENT (STA)	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 Security Threat Assessment Systems	FR Citation: 79 FR 46862

Number of Respondents: 2,250	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,250	2,250
Annual IC Time Burden (Hours)	563	563
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.