Information Collection

TFSSP/PCSSP STA Applications

IC 220688 under ICR 202406-1652-001 · OMB 1652-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA 419F TFSSP/PCSSP STA Applications	Form
Form TSA 419F APPLICATION FOR NEW OR RENEWAL SECURITY THREAT ASSESSMENT (STA) TFSSP/PCSSP STA Applications	Form
TSA 419F APPLICATION FOR NEW OR RENEWAL SECURITY THREAT ASSESSMEN TSA-Form419FFINALv240214.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1544

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	TSA 419F	APPLICATION FOR NEW OR RENEWAL SECURITY THREAT ASSESSMENT (STA)	TSA-Form419FFINALv240214.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: Transportation Security Threat Assessment Systems

FR Citation: 79 FR 46862

Number of Respondents: 2,250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,250	2,250
Annual IC Time Burden (Hours)	563	563
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.