TSA Form 3415 Armed Security Officer Training Acknowledgement

DEPARTMENT OF HOMELAND SECURITY

OMB Control Number: 1652-0035
Expiration: 11/30/2022

Transportation Security Administration

Clear Form

ARMED SECURITY OFFICER TRAINING ACKNOWLEDGEMENT
INSTRUCTIONS: In order to participate in the Transportation Security Administration (TSA) Law Enforcement/Federal Air Marshal Service
(LE/FAMS) Armed Security Officer (ASO) Program and in accordance with ASO Standard Operating Procedures (SOP) each ASO shall
certify that they have read, understand and adhere to the ASO SOP, Department of Homeland Security (DHS)
Policy Statement 044-05, Department Policy on the Use of Force, and TSA Insider Threat Program (FFDO and ASO) Training Module.
This form shall be completed annually and stored in accordance with TSA File Code 3400.21.
SECTION I. Acknowledgement of ASO SOP, DHS Policy on the Use of Deadly Force and Insider Threat Training
I acknowledge I have read, understand and shall adhere to the ASO SOP.
I acknowledge I have read, understand and shall adhere to the DHS Policy Statement 044-05, Department Policy on the Use of Force.
I acknowledge I have read, understand and shall adhere to the TSA Insider Threat Program (FFDO and ASO) Training Module.
SECTION II. ASO Information and Signature
ASO Credential Number
ASO Name (Printed)
ASO Signature
Date of Signature
PRIVACY ACT STATEMENT: AUTHORITY: 49 U.S.C. § 114; Pub. L.108-176. PRINCIPAL PURPOSES(S): To identify individuals eligible to
serve as armed security officers aboard general aviation flights into DCA. ROUTINE USE(S): This information you provide may be shared with
aircraft and airport operators, and the FAA, or for routine uses identified in TSA system of records, DHS/TSA 002, Transportation Security
Threat Assessment System. DISCLOSURE: Voluntary; failure to furnish the requested information may result in delays in processing or denial
of your nomination.
PAPERWORK STATEMENT ACT: This is a mandatory collection to participate in the ASO Program. The total average burden per response
associated with this collection is estimated to be approximately 5 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. Send comments regarding this burden estimate or collection
to: TSA-11, Attention: PRA 1652-0035, 6595 Springfield Center Drive, Springfield, VA 20598-6011.

TSA Form 3415 (2/19) [File: 3400.21]

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