Information Collection

TWIC Pre-Enrollment

IC 182269 under ICR 201210-1652-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 2212 TWIC Pre-Enrollment	Form
Pre-Enrollment Screenshots 10_24_2012.pdf www.twicprogram.tsa.dhs.gov	Other-Online application
TSA 2212 TWIC Disclosure Form TWIC Disclosure Form TSA_Form_2212.docx www.twicprogram.tsa.dhs.gov	Form

IC Title:

TWIC Pre-Enrollment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 2212	TWIC Disclosure Form	TWIC Disclosure Form TSA_Form_2212.docx	www.twicprogram.tsa.dhs.gov	Yes	Yes	Fillable Printable
Other-Online application			Pre-Enrollment Screenshots 10_24_2012.pdf	www.twicprogram.tsa.dhs.gov	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 108,822

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	108,822	-23,617	132,439
Annual IC Time Burden (Hours)	18,500	-4,015	22,515
Annual IC Cost Burden (Dollars)	14,119,655	-3,428,513	17,548,168

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.