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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.