Form TSA Form 2816B TSA Form 2816B Foreign National Vistor Request - Group

OMB Control Number: 1652-0068
Expiration: 11/30/2020

DEPARTMENT OF HOMELAND SECURITY

Transportation Security Administration
FOREIGN NATIONAL VISITOR REQUEST - GROUP

INSTRUCTIONS: To access TSA facilities within the U.S. and its Territories, Foreign Nationals must be vetted in accordance with TSA MD 2800.15, Foreign Visitor Management. DHS
MD 11052, Internal Security Program, requires that Department Agencies report Foreign National Visitor Data to the DHS Chief Security Officer (CSO) via the DHS Foreign National
Vetting System. The TSA office sponsoring the visit is responsible for obtaining the required vetting information from the foreign national and then submitting the information through one of
two established procedures at least twenty (20) business days in advance of the visit. The primary procedure to request the vetting of foreign nationals is through the iShare online Security
Appointment Center (SAC) Visitor Request Form.
If the TSA sponsor cannot access the online SAC Form, then the sponsor is required to submit TSA Form 2816A, Foreign National Visitor Request - Individual, or for a group of foreign
nationals of two or more, TSA Form 2816B, Foreign National Visitor Request - Group, at least twenty (20) business days in advance of the visit, to the Security Branch, Security Services
and Assessments Division, OLE/FAMS to the following address: [email protected]. NOTE: This form is for internal TSA use only.

FOREIGN NATIONAL VISITOR DATA
No.

Family Name

Other Names

Country/
Citizenship

Gender
(M/F)

Date of Birth Country/Birth

Passport
Country

Passport
Number

Passport
Expiration
Date

Position/
Employer

FNV Visitor
Number
(Do not fill in)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
TSA Form 2816B (12/17) rev. [File: 2800.0.1]

Previous editions of this form are obsolete.

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TSA SPONSOR DATA
Sponsor Name

Sponsor Email

Sponsor Title/Position

Sponsor Phone Number

Alternate Phone Number

Date of Request

Visit Start Date

Visit End Date

TSA Escort

Escort Phone Number

Escort Email

Sponsor Organization/Location

If any of the following categories of information are requested to be shared with the visitors, the sponsor will be directed to the appropriate office(s) for further action.
CLASSIFIED NATIONAL SECURITY INFORMATION

OTHER

FOR OFFICE OF SECURITY USE ONLY
Processed By (Name)

Date entered into ISMS

FNV Number

Paperwork Reduction Act Statement: Through this voluntary information collection, TSA is gathering information to facilitate your request for access to TSA facilities. It is estimated that
the total average burden per response associated with this collection is approximately 0.01667 hours. An agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a valid OMB control number. The control number assigned to this collection is OMB 1652-0068, which expires 11/30/2020. Send comments
regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden to TSA PRA Officer, 601 S. 12th Street, Arlington, VA
20598-6011. ATTN: PRA 1652-0068.

Previous editions of this form are obsolete.
TSA Form 2816B (12/17) rev. [File: 2800.0.1]

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