Information Collection

Security Threat Assessment (STA)

IC 190338 under ICR 201904-1652-003 · OMB 1652-0040.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0040 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA Form Number 41 Security Threat Assessment (STA)	Form and Instruction
TSA Form Number 41 Security Threat Assessment Applicaton TSA Form 419F 8.14.2019(1).docm	Form and Instruction

IC Title:

Security Threat Assessment (STA)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1546.213 49 CFR 1548.15,16 49 CFR 1544.228

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 Number 419F	Security Threat Assessment Applicaton	TSA Form 419F 8.14.2019(1).docm		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: Transportation STA System

FR Citation: 79 FR 46862

Number of Respondents: 98,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	98,500	98,500
Annual IC Time Burden (Hours)	24,625	24,625
Annual IC Cost Burden (Dollars)	4,038,500	4,038,500

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.