CCSFs STA Applications

Certified Cargo Screening Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0053 can be found here:

Documents and Forms

Document Name Document Type
Form TSA Form 419F CCSFs STA Applications Form and Instruction
TSA Form 419F STA Application TSA Form 419F FINAL 210616.pdf Form and Instruction
TSA Form 419F STA Application TSA Form 419F FINAL 210616.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	CCSFs STA Applications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1549.103 49 CFR 1522.117 49 CFR 1522.121 49 CFR 1549.11

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 419F	STA Application	TSA Form 419F FINAL 210616.pdf		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/TSA-002, Transportation STA System	FR Citation: 79 FR 46862

Number of Respondents: 5,785	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,785	5,785
Annual IC Time Burden (Hours)	1,446	1,446
Annual IC Cost Burden (Dollars)	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.