Information Collection

STA Applications and records

IC 200093 under ICR 201805-1652-003 · OMB 1652-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0002 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA 419F STA Applications and records	Form and Instruction
TSA 419F Security Threat Assessment Application TSA-FORM419FFINALv171219.pdf	Form and Instruction

IC Title:

STA Applications and records

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1542.303

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 419F	Security Threat Assessment Application	TSA-FORM419FFINALv171219.pdf		Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: Transportation Security Threat Assessments

FR Citation: 79 FR 46862

Number of Respondents: 438

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	1,549,130	978,430	570,700
Annual IC Time Burden (Hours)	542,196	342,451	199,745
Annual IC Cost Burden (Dollars)	0	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.