TSA Canine Training Center Adoption Application

Forms and Documents

Document Name	Status
Form TSA Form 433 Adoption Application Form and Instruction	Modified
privacy_pia_tsa_cws.pdf Supplementary Document	2017-06-22
1652-0067 TSA CTC AdoptApp SS_7.7.2020.docx Supporting Statement A	2020-07-07
CFR-2016-title41-vol3-sec102-36-365.pdf Supplementary Document	2017-05-23
CFR-2016-title41-vol3-sec102-36-35.pdf Supplementary Document	2017-05-23
SORN dhstsa-006.pdf Supplementary Document	2017-05-23
PLAW-110publ53.pdf Supplementary Document	2017-05-15
PLAW-107publ71.pdf Supplementary Document	2017-05-15
1652-0067 TSA CTC AdoptApp 60DN 84 FR 67752 (12.11.2019).pdf Supplementary Document	2020-05-12
1652-0067 TSA CTC AdoptApp 30DN 85 FR 16118 (3.20.2020).pdf Supplementary Document	2020-05-12

IC Document Collections

IC ID	Document Title	Status
226849	Adoption Application Form and Instruction	Modified

ICR Details

OMB Control No: 1652-0067	ICR Reference No: 202005-1652-003
Status: Active	Previous ICR Reference No: 201705-1652-001
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: TSA Canine Training Center Adoption Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/15/2020
	Date Received in OIRA: 07/07/2020
Terms of Clearance: OMB enthusiastically approves this form and wishes the happy adoptive families all the best in their future together with their new canine companion.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2023	36 Months From Approved	08/31/2020
Responses	300	0	300
Time Burden (Hours)	50	0	50
Cost Burden (Dollars)	20	0	25

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Abstract: The TSA Canine Program is a Congressionally-mandated program that operates pursuant to section 110(e)(3) of the Aviation and Transportation Security Act (ATSA), Pub. L. 107-71 (115 Stat. 597, Nov. 19, 2001); and the Implementing Recommendations of the 9/11 Commission Act of 2007, Pub. L. 110-53 (121 Stat. 266, Aug. 3, 2007). The TSA Canine Program developed the TSA CTC to train and deploy explosive detection canine teams to Federal, State, and local agencies in support of daily activities that protect the transportation domain. TSA created the TSA CTC Adoption Program under the authority of 41 CFR 102-36.35(d) and 102–36.365 to find suitable individuals or families to adopt and provide good homes to canines who do not graduate from the training program. Individuals seeking to adopt a TSA canine must complete the TSA CTC Adoption Application. This collection of information allows the TSA CTC to collect personal information from the applicants to determine their suitability to adopt a TSA canine.

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Authorizing Statute(s): PL: Pub.L. 110 - 53 121 Stat. 266, Aug. 3, 2007 Name of Law: Implementing Recommendations of the 9/11 Commission Act of 2007
   PL: Pub.L. 107 - 71 110 Name of Law: Aviation and Transportation Security Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 67752	12/11/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 16118	03/20/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Adoption Application	TSA Form 433	Adoption Application

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	300	300	0	0	0	0
Annual Time Burden (Hours)	50	50	0	0	0	0
Annual Cost Burden (Dollars)	20	25	0	0	-5	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $5,009

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/07/2020

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