Other 49 CFR 1520.15(e)

Sensitive Security Information Threat Assesment Application

Documents and Forms

Document Name Document Type
Form TSA Form 2817B Other 49 CFR 1520.15(e) Form and Instruction
TSA Form 2817B SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD TSA-Form2817BFINALv210108.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Other 49 CFR 1520.15(e)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 1520.15(e)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TSA Form 2817B	SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD	TSA-Form2817BFINALv210108.docx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD	FR Citation: 79 FR 46862

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	0	20
Annual IC Time Burden (Hours)	5	-15	20
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.