CFATS Personnel Surety

Chemical Facility Anti-Terrorism Standards (CFATS) Personnel Surety Program

1670-0029_CFATS PSP_Instrument_Final

Background Check to Identify Affected Individuals With Terrorist Ties

OMB: 1670-0029

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CFATS Personnel Surety Program Instrument











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  1. Privacy Notice

Authority: 6 U.S.C. § 623 (Protecting and Securing Chemical Facilities from Terrorist Attacks Act of 2014) and the Chemical Facility Anti-Terrorism Standards, 6 C.F.R. Part 27 authorize the collection of this information.



Purpose: DHS will use this information to identify individuals with terrorist ties that have or are seeking access to the restricted areas and/or critical assets at the nation’s high-risk chemical facilities or to electronically verify and validate that the affected individual is enrolled in another DHS program that compares an affected individual’s information to information to about known and suspected terrorists.



Routine Use: This information may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, as amended. This includes using the information, as necessary and authorized by the routine uses published in DHS/NPPD-002 Chemical Facility Anti-Terrorism Standards Personnel Surety Program System of Records (May 19, 2014, 79 FR 28752).



Disclosure: Providing this information is required for high-risk chemical facilities whose site security plans are Authorized and/or Approved without a Risk Based Performance Standard 12(iv) conditions.

  1. Paperwork Reduction Act Statement

In accordance with the Paperwork Reduction Act, no one is required to respond to a collection of information unless it displays a valid Office of Management and Budget (OMB) Control Number. The valid OMB Control Number for this information collection is 1670-0029. The time required to complete this information collection is estimated to average 0.1667 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The collection of information is voluntary in order to obtain benefit. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to DHS/NPPD/IP/ISCD, 245 Murray Lane, S.W., Mail Stop 0610, Arlington, VA 20528-0610ATTN: PRA [OMB Control No. 1670-0029].

















  1. CFATS Personnel Surety Program Option 1

In this section, the instrument will use text fields and dropdown list to collect the following information:

  • Required information

    • For U.S. Persons (U.S. citizens and nationals as well as U.S. lawful permanent residents)

      • Full Name;

      • Date of Birth; and

      • Citizenship or Gender.

    • For Non-U.S. Persons

      • Full Name;

      • Date of Birth;

      • Citizenship; and

      • Passport information and/or alien registration number.

  • Optional information

    • Aliases;

    • Gender (Non-U.S. Persons);

    • Place of Birth;

    • Redress Number; and/or

    • User Defined Field(s) (Not used for vetting purposes).


Data Elements Submitted to the Department

For A

U.S. Person

For A

Non-U.S. Person

Full Name

Required

Date of Birth

Required

Gender

Must provide Citizenship or Gender

Optional

Citizenship

Required

Passport Information and /or Alien Registration Number

N/A

Required

Aliases

Optional

Place of Birth

Optional

Redress number

Optional

User Defined Field(s)

Optional (Not used for vetting purposes)








  1. CFATS Personnel Surety Program Option 2

In this section, the instrument will use text fields and dropdown list to collect the following information:

  • Required information

    • Full Name;

    • Date of Birth; and

    • Program-specific information or credential information, such as expiration date, unique number, or issuing entity.

  • Optional information

    • Aliases;

    • Gender;

    • Place of Birth;

    • Citizenship; and/or

    • User Defined Filed(s) (Not used for vetting purposes).


Data Elements Submitted to the Department

Full Name

Required

Date of Birth

Required

Program-specific information or credential information, such as expiration date, unique number, or issuing entity

Required

Aliases

Optional

Gender

Optional

Place of Birth

Optional

Citizenship

Optional

User Defined Field(s)

Optional (Not used for vetting purposes)


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleCSAT_Registration_Instrument_17DEC15 jjh
File Modified0000-00-00
File Created2022-02-12

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