Information Collection Request

Speaker Request Form

ICR 202504-1652-001 · OMB 1652-0075 · Active

Forms and Documents
DocumentTypeStatusAvailability
1652-0075 Speaker Request Form SS.docx Supporting Statement A Uploaded 2025-04-23 Available
1652-0075 Speaker Request Form SS.docx Supporting Statement A Uploaded 2025-04-23 Repair queued
1652-0075 Speaker Request Form 30DN_90 FR 17074 (4.23.2025).pdf Supplementary Document Uploaded 2025-04-23 Available
1652-0075 Speaker Request Form 30DN_90 FR 17074 (4.23.2025).pdf Supplementary Document Uploaded 2025-04-23 Repair queued
DHS MD 110-02.pdf Supplementary Document Uploaded 2021-07-23 Available
DHS MD 110-02.pdf Supplementary Document Uploaded 2021-07-23 Repair queued
49 USC 114 d_f.pdf Supplementary Document Uploaded 2021-07-23 Available
49 USC 114 d_f.pdf Supplementary Document Uploaded 2021-07-23 Repair queued
1652-0075 Speaker Request Form 60DN_89 FR 105620 (12.27.2024).pdf Supplementary Document Uploaded 2025-04-18 Available
1652-0075 Speaker Request Form 60DN_89 FR 105620 (12.27.2024).pdf Supplementary Document Uploaded 2025-04-18 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
248525 TSA Speaker Requestor Other-Electronic form Modified
ICR Details
1652-0075 202504-1652-001
Active 202107-1652-003
DHS/TSA
Speaker Request Form
Extension without change of a currently approved collection   Yes
Regular
Approved without change 07/24/2025
Retrieve Notice of Action (NOA) 04/24/2025
  Inventory as of this Action Requested Previously Approved
07/31/2028 36 Months From Approved 08/31/2025
300 0 300
50 0 50
0 0 0

Under the Aviation and Transportation Security Act (ATSA), TSA is responsible for security in all modes of transportation, including screening operations for passenger air transportation and for carrying out such other duties it considers appropriate relating to transportation security. See sec. 101(a) of ATSA, Pub. L. 107-71 (115 Stat. 597-598, Nov. 19, 2001), as codified at 49 U.S.C. 114(d) and (f). DHS Directive 110-02 established the Department of Homeland Security (DHS) policy with respect to the acceptance of public speaking invitations by DHS employees and formally implemented the Office of Public Affairs DHS Speakers Bureau as well as DHS Component speaker bureaus. Based on these requirements, TSA created its own Speaker Bureau and modeled it after the DHS Speakers Bureau process to allow for the acceptance of public speaking invitations. To comply with the policy, TSA created the Speaker Request Form, which collects information on the requestor and the event a speaker would attend.

PL: Pub.L. 107 - 71 101(a) Name of Law: Aviation and Transportation Security Act
  
None

Not associated with rulemaking

  89 FR 105620 12/27/2024
90 FR 17074 04/23/2025
No

1
IC Title Form No. Form Name
TSA Speaker Requestor

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 300 300 0 0 0 0
Annual Time Burden (Hours) 50 50 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$41,863
No
    Yes
    No
No
No
No
No
Christina Walsh 571 227-2062 [email protected]

  Yes
 
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title
DHS/USICE 202507-1653-001CF ICE Speaker Request Form Active TSA Speaker Requestor

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/24/2025