DASSP Application (5.20.2022)

DEPARTMENT OF HOMELAND SECURITY
OMB 1652-0035
11/30/2022

Transportation Security Administration
DCA Access Standard Security Program (DASSP)
Aircraft Operator Application Form

Full Company Name: ________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
State: ________________

City: _______________________________________
Corporate Flight Department Location:

Zip Code:__________________

_______________________________________________________________________

Flight Department Mailing Address: ___________________________________________________________________________
City: _______________________________________

State: ________________

Zip Code: _________________

Airport used as base of operation (use airport identifier): ______________________________
Do you presently comply with a TSA Standard Security Program (i.e. TFSSP, AOSSP, or PCSSP)?

Yes

No

If Yes, please specify which program: _____________________________________________________________________________

Security Coordinator:
Name:
Primary

First

Middle

Last

Phone

Email

Alternate

Applicant’s Name: ________________________________________________________________________________________
Applicant Telephone Number (s): _______________________

Email Address: _____________________________________

Applicant’s Signature & Title: ____________________________________________________________________________________
** Completed applications can be emailed to: [email protected] or faxed to (703)603-4030. **

PAPERWORK REDUCTION ACT BURDEN STATEMENT
This is a mandatory collection of information if you wish to fly into or from Ronald Reagan National Airport (DCA) in Washington, DC
or act as a gateway fixed base operator for aircraft inbound to DCA. The total average burden per response associated with this
collection is estimated to be approximately 60 minutes. An agency may not conduct or sponsor, and a person is not required to
respond to a collection of information unless it displays a valid 0MB control number. The control number assigned to this
collection is OMB 1652-0035, which will expire on November 30, 2022. TSA-11, Attention: PRA 1652-0035, 6595 Springfield Center
Drive, Springfield, VA 20598-6011.

www.tsa.gov

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