TSA Form 2816A Foreign National Visitor Request - Individual

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

DEPARTMENT OF HOMELAND SECURITY

Transportation Security Administration
FOREIGN NATIONAL VISITOR REQUEST – INDIVIDUAL

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
Full Name (Family Name, followed by all other names on passport)

Country of Citizenship

Gender

Date of Birth

Country of Birth

Passport Country

Passport Number

Passport Expiration Date

Employer
Title or Position

Country of Employer
Phone Number

Email
TSA SPONSOR DATA

Sponsor Name

Sponsor Title/Position

Sponsor Email

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

Purpose of Visit
Location(s) of Visit (List all that apply)
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.
TSA Form 2816A (12/17) rev. [File: 2800.0.1]

Previous editions of this form are obsolete.

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