Pipeline Cybersecurity Self-Assessment Form

Critical Facility Information of the Top 100 Most Critical Pipelines

TSA Pipeline Cybersecurity Self-Assessment.pptx

Pipeline Cybersecurity Self-Assessment Form

OMB: 1652-0050

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TSA Pipeline Cybersecurity Self-Assessment

OMB Control Number 1652-0050

Exp. 11/31/2021

 

When completed, this document is SSI.

 

 

 

 

 

 

 

 

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Paperwork Reduction Act Statement

  • PAPERWORK REDUCTION ACT STATEMENT: TSA is collecting this information in order to address cybersecurity threat to pipeline systems and associated infrastructure. This is a mandatory collection of information.  TSA estimates that the total average burden per response associated with this collection is approximately 6 hours. If you have any comments regarding this form, you may write to: ATTN: TSA PRA Officer, TSA-11, PRA 1652-0050, 6595 Springfield Center Drive, Springfield, VA 20598-6011.  An agency may not conduct or sponsor, and persons are not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB number for this for is 1652-0050, which expires 11/31/2021. 

 
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