Information Collection

TWIC Pre-Enrollment

IC 182269 under ICR 201702-1652-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Form 2212 TWIC Pre-Enrollment	Form and Instruction
TWIC - Pre-enroll.pptx universalenroll.dhs.gov/	Other-Screenshots
TSA Form 2212 TWIC® Disclosure and Certification TWIC Disclosure Form TSA_Form 2212_March 2017.docx universalenroll.dhs.gov/	Form and Instruction

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 and Instruction	TSA Form 2212	TWICÂ® Disclosure and Certification	TWIC Disclosure Form TSA_Form 2212_March 2017.docx	https://universalenroll.dhs.gov/	Yes	Yes	Fillable Printable
Other-Screenshots			TWIC - Pre-enroll.pptx	https://universalenroll.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: 25,986

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	25,986	-94,434	120,420
Annual IC Time Burden (Hours)	31,962	11,491	20,471
Annual IC Cost Burden (Dollars)	3,254,747	-12,369,748	15,624,495

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.