Information Collection

STA Applications

IC 189823 under ICR 202408-1652-002 · OMB 1652-0053.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA Form 419F STA Applications	Form and Instruction
TSA Form 419F STA Application TSA-Form419FFINALv240214.pdf	Form and Instruction
TSA Form 419F STA Application TSA-Form419FFINALv240214.pdf	Form and Instruction

IC Title:

STA Applications

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1522.117 49 CFR 1549.103 49 CFR 1522.121 49 CFR 1549.11

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 and Instruction	TSA Form 419F	STA Application	TSA-Form419FFINALv240214.pdf		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: DHS/TSA-002, Transportation STA System

FR Citation: 79 FR 46862

Number of Respondents: 6,859

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,859	1,074	5,785
Annual IC Time Burden (Hours)	1,715	269	1,446
Annual IC Cost Burden (Dollars)	281,219	281,219	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.