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CCSF Applications
Certified Cargo Screening Program
OMB: 1652-0053
IC ID: 189821
OMB.report
DHS/TSA
OMB 1652-0053
ICR 201204-1652-004
IC 189821
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0053 can be found here:
2021-06-17 - Extension without change of a currently approved collection
2019-07-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form TSA Form 419B
CCSF Applications
Form and Instruction
TSA Form 419B CCSF Facility Profile Application
TSA_Form_419B_CCSF_Facility_Profile_Application.doc
Form and Instruction
TSA Form 419E CCSF Security Profile
TSA_Form_419E_CCSF_Security_Profile.doc
Form and Instruction
TSA Form 419D CCSF Principal Attestation
TSA_Form_419D_CCSF_Principal_Attestation.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CCSF Applications
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
49 CFR 1549.7
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 419B
CCSF Facility Profile Application
TSA_Form_419B_CCSF_Facility_Profile_Application.doc
Yes
Yes
Fillable Fileable
Form and Instruction
TSA Form 419E
CCSF Security Profile
TSA_Form_419E_CCSF_Security_Profile.doc
Yes
Yes
Fillable Fileable
Form and Instruction
TSA Form 419D
CCSF Principal Attestation
TSA_Form_419D_CCSF_Principal_Attestation.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
967
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
967
0
0
-6,547
0
7,514
Annual IC Time Burden (Hours)
1,934
0
0
-13,094
0
15,028
Annual IC Cost Burden (Dollars)
0
0
0
0
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.