Information Collection

Critical Facilities

IC 185409 under ICR 202105-1652-003 · OMB 1652-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA Form 1604 Critical Facilities	Form
TSA Pipeline Cybersecurity Self-Assessment.pptx	Other-Form
TSA Pipeline Cybersecurity Self-Assessment.pptx	Other-Form
TSA Form 1604 Pipeline Security Critical Facility Review CFSR_TSA Form 1604 - v 1.1 - 06 April 2015.docx	Form
TSA Form 1604 Pipeline Security Critical Facility Review CFSR_TSA Form 1604 - v 1.1 - 06 April 2015.docx	Form

IC Title:

Critical Facilities

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 15 and 1520

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	TSA Form 1604	Pipeline Security Critical Facility Review	CFSR_TSA Form 1604 - v 1.1 - 06 April 2015.docx		No		Paper Only
Other-Form			TSA Pipeline Cybersecurity Self-Assessment.pptx		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	360	360
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.