Information Collection

TFSSP/PCSSP STA Applications

IC 220688 under ICR 201603-1652-004 · OMB 1652-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0003 can be found here:

Documents and Forms

Document Name Document Type
Form TSA Form 419F TFSSP/PCSSP STA Applications Form and Instruction
TSA Form 419F STA Application TSA Form 419F FINAL 160602.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TFSSP/PCSSP STA Applications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1544

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 419F	STA Application	TSA Form 419F FINAL 160602.pdf		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: 2,250	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2,250	2,250
Annual IC Time Burden (Hours)	563	563
Annual IC Cost Burden (Dollars)	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.