Information Collection

STA Applications and records

IC 200093 under ICR 201111-1652-005 · OMB 1652-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0002 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA 419F STA Applications and records	Form and Instruction
TSA 419F Security Threat Assessment Application 419F_STA.docx	Form and Instruction

IC Title:

STA Applications and records

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1542.303

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 and Instruction	TSA 419F	Security Threat Assessment Application	419F_STA.docx		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: 445

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	578,500	578,500
Annual IC Time Burden (Hours)	202,475	202,475
Annual IC Cost Burden (Dollars)	0	0

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.