Information Collection

TWIC Pre-Enrollment

IC 182269 under ICR 200708-1652-005 · OMB 1652-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0047 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA Form 2212 TWIC Pre-Enrollment	Form
Pre-Enrollment%20Screen%20Shots%20080307a.pdf www.twicprogram.tsa.dhs.gov	Instruction
TSA Form 2212 Transportation Worker Identification Credential (TWIC) D TWIC Applicant Certification Form 2212 10-05-07 rev a.doc www.twicprogram.tsa.dhs.gov	Form

IC Title:

TWIC Pre-Enrollment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 1572.201

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	TSA Form 2212	Transportation Worker Identification Credential (TWIC) Disclosure Form	TWIC Applicant Certification Form 2212 10-05-07 rev a.doc	www.twicprogram.tsa.dhs.gov	Yes	Yes	Fillable Printable
Instruction			Pre-Enrollment%20Screen%20Shots%20080307a.pdf	www.twicprogram.tsa.dhs.gov	Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 412,234

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	412,234	412,234
Annual IC Time Burden (Hours)	206,117	206,117
Annual IC Cost Burden (Dollars)	54,621,005	54,621,005

Documents for IC

table that charts IC Documents
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.