Information Collection

Msijsoc

IC 229096 under ICR 201711-1652-001 · OMB 1652-0069.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0069 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA Form 417 MSIJSOC	Form and Instruction
TSA Form 417 Screening Assistance Request REVISED TSA FORM 417 - SCREENING ASSISTANCE REQUEST (003).pdf	Form and Instruction

IC Title:

MSIJSOC

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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 417	Screening Assistance Request	REVISED TSA FORM 417 - SCREENING ASSISTANCE REQUEST (003).pdf		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: Transportation Security Enforcement Record Symtem

FR Citation: 78 FR 73868

Number of Respondents: 5,090

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	5,090	5,090
Annual IC Time Burden (Hours)	424	424
Annual IC Cost Burden (Dollars)	0	0

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.