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Adoption Application
TSA Canine Training Center Adoption Application
OMB: 1652-0067
IC ID: 226849
OMB.report
DHS/TSA
OMB 1652-0067
ICR 201705-1652-001
IC 226849
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0067 can be found here:
2023-03-20 - Extension without change of a currently approved collection
2020-07-07 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form TSA Form 433
Adoption Application
Form and Instruction
TSA Form 433 Adoption Application
TSA Form 433 rev 170405 (003).pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Adoption Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
41 CFR 102-36-35 41 CFR 102-36.365 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
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 433
Adoption Application
TSA Form 433 rev 170405 (003).pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
DHS/TSA-006 Correspondence and Matters Tracking Records
FR Citation:
75 FR 18863
Number of Respondents:
300
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
97 %
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
300
0
0
300
0
0
Annual IC Time Burden (Hours)
50
0
0
50
0
0
Annual IC Cost Burden (Dollars)
25
0
0
25
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.