Correction of Record

TSA Pre-Check Application Program

Documents and Forms

Document Name Document Type
PreCheck PDI template.pdf www.tsa.gov/tsa-precheck Other-Instructions-Sample

Information Collection (IC) Details

IC Title:	Correction of Record	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 1572.201

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Instructions-Sample			PreCheck PDI template.pdf	http://www.tsa.gov/tsa-precheck	Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,127	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,127	376	751
Annual IC Time Burden (Hours)	6,762	2,256	4,506
Annual IC Cost Burden (Dollars)	1,127	376	751

Documents for IC

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.