Form TSA Form 1427 TSA Form 1427 TSA infoBoards

OMB Control Number 1652-0065
Exp. 3/31/2025

DEPARTMENT OF HOMELAND SECURITY

Transportation Security Administration

TSA infoBoards User Account Request/Renewal
INSTRUCTIONS: Applicants requesting access to a TSA Information Boards (TSA infoBoards) must complete all applicable fields of this
form and submit by email or fax to the appropriate TSA point of contact (e.g., Sponsor, Representative, or Board Administrator). See
TSA infoBoards User Account Request Instructions for additional details.
SECTION I. Requestor Information
Full Name (Last, First, MI):

Job Title:

Telephone Number:

Fax Number:

Employer Name:

Email Address:

Complete Work Address:
U.S. Citizen (Required):

Yes

No

TSA Employee (Required):

Airport 3 – Letter Code (Optional):

Yes

No

Carrier ID (Optional):

SECTION II. Requestor Type
General Aviation 12-5

Non-US Air Carrier

Authorized Representative

All Cargo TFSSP

Private Charter

US Airports (ACO200)

Full All Cargo
US Commercial Air Carriers (ACO500)
Other
SECTION III. TSA infoBoards Boards (Per TSA MD 1400.21, each TSA infoBoards user shall be associated with at least one TSA
infoBoards board.)
Name of infoBoards board(s) requesting access to (may select multiple):
AvOps Air Carrier Security (12-5)
AvOps Air Carrier Security (ACO500)
AvOps Air Carrier Security (Private Charter)
AvOps Airport Security (ACO200)
AvOps International
AvOps Non-US Air Carrier Security
AvOps TSA Employee
Certified Cargo Screening Program (CCSP)
DCA Access Standard Security Program (DASSP)

Full All-Cargo Program
G7 Transportation Security Subgroup
Industry Report
International Working Group on Land Transport Security
Non-US All Cargo Security
Screening Partnership Program
Trilateral Working Group
Watchlist
Other

Details/Reasons for Request:
SECTION IV. Requestor Acknowledgement (Requestor to read and sign)
I, the requestor, attest that I am familiar with and I will comply with the standards for access, dissemination, handling, and safeguarding
of Sensitive Security Information (SSI) as cited in this request, and in accordance with 49 CFR Part 1520, Protection of Sensitive
Security Information, as amended, and any supplementary guidance issued by an authorized official of the Department of Homeland
Security (DHS).
I understand that I will be accessing a U.S. Government system that is provided for U.S. Government-authorized use only.
By using this information system, I understand and consent to the following:
•
I have no reasonable expectation of privacy when I use this information system; this includes any communications or data
transiting or stored on this information system. At any time, and for any lawful government purpose, the government may,
without notice, monitor, intercept, search and seize any communication or data transiting or stored on this information system;
•
The government may disclose or use any communications or data transiting or stored on this information system for any lawful
government purpose, including but not limited to law enforcing purposes;
•
I will comply with requests to be audited by DHS and TSA and will provide response within three business days;
•
I am responsible for the security of TSA data otherwise stored or processed on the regulated entity’s computing system and
will verify the regulated entity’s proof of eligibility for remote access connection to DHS/TSA networks is current;
•
I am not authorized to process classified information on this system;
•
I will comply with Sensitive Personally Identifiable Information (SPII) and PII handling and disposition requirements;
•
I will complete IT Security Awareness, SSI, and privacy training and will complete refresher training annually; and
•
I will sign and provide annually the DHS Non-Disclosure Agreement (NDA) 11000-6, and TSA Form 1403 Computer and
Wireless Personal Device Agreement or TSA Form 1430 Computer Access Agreement (CAA) External Personnel Only.
•
I understand that failure to comply with the above will result in immediate revocation of my access to the TSA infoBoards and
may result in fines or other penalties.
________________________________________________
Signature
TSA Form 1427 (2/20) rev. [File: 5000.26]

________________________________
Date
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OMB Control Number 1652-0065
Exp. 3/31/2025
SECTION V. Acknowledgement (Requesting organization’s Security Coordinator to read and sign)
I, the requesting organization’s authorizing official, hereby acknowledge and concur with this request. I may also be held accountable
for any violations of the infoBoards user agreement stated above.
_________________________________________________
_______________________________________________
Print Name
Title
_________________________________________________
________________
Signature
Date
SECTION VI. TSA Sponsor Acknowledgement (TSA Sponsor to read and sign)
I, the TSA Sponsor, hereby acknowledge and grant this request.
________________________________________________
Print Name
________________________________________________
Signature

_______________________________________________
Title
________________
Date

SECTION VII. TSA Board Administrator (TSA Board Administrator to read and sign)
I, the Board Administrator, hereby acknowledge and grant this request.
________________________________________________
Print Name
________________________________________________
Signature

________________________________________________
Title
__________________
Date

Internal Use Only – HSIN Account Administration
Nomination to HSIN:
Board/Role(s):

Yes

No

/

/

/

Board Administrator Approval: ________________________________________________
Signature
HSIN Validation:

Yes

/
__________________
Date

No

Board Administrator Approval: ________________________________________________
Signature
Non U.S. Citizens TSA Form 2816A Submitted and Approved:

Yes

__________________
Date

No

Board Administrator Acknowledgement: ________________________________________________
Signature

__________________
Date

PRIVACY ACT STATEMENT: Authority: 5 U.S.C. § 301; 49 U.S.C. § 114. Principal Purpose(s): All TSA-sponsored, eligible
TSA infoBoards users who will be using TSA Information Technology systems are to complete this form signifying
understanding and acceptance of applicable policy and legal requirements concerning the operation of computer equipment
and access to network resources within the TSA. Routine Use(s): This information may be shared in connection with
establishing an access account for an individual, or for routine uses identified in DHS/ALL-004 Department of Homeland
Security General Information Technology Access Account Records (GITAARS) System of Records. Disclosure: Voluntary;
failure to furnish the requested information may result in a loss of computer access privileges.
PAPERWORK REDUCTION ACT: This is a mandatory collection of information if you wish access to a TSA Information
Board. The total average burden per response associated with this collection is estimated to be approximately 1 hour. 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 OMB control number. The control number assigned to this collection is OMB 1652-0065 which will expire on 03/312025.
Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for
reducing this burden to TSA PRA Officer, 6595 Springfield Center Drive, Springfield, VA 20598-6011. ATTN: PRA 1652-0065.

TSA Form 1427 (2/20) rev. [File: 5000.26]

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OMB Control Number 1652-0065
Exp. 3/31/2025
InfoBoards User Account Request Instructions
Definitions:
1.

2.

3.
4.
5.

6.

Applicant (Requestor) - An individual requesting an account for an infoBoard and that has a need for access, as
described in Title 49: Transportation, Part 1520 —Protection of Sensitive Security Information; Section 11 – “Persons
with a need to know”.
Security Coordinator - A representative, such as an Aircraft Operator Security Coordinator (AOSC), from an
organization outside of TSA who is responsible for confirming the authenticity and the need for access of an infoBoard
applicant prior to submission to the TSA Sponsor.
SSI - Sensitive Security Information.
TFSSP - Twelve-Five Standard Security Program.
TSA Sponsor - A front-line TSA employees who are responsible for the approval of an infoBoard User Account
Request. These individuals are typically a Principal Security Inspector (PSI), International Industry Representative (IIR),
Transportation Security Inspector (TSI), Supervisory Transportation Security Inspector (STSI), or Assistant Federal
Security Director for Inspections (AFSD-I).
49 CFR part 1520, Sensitive Security Information - This Federal regulation outlines policies and procedures in how to
share, safeguard, and identify sensitive transportation security information that is shared with transportation security
stakeholders.

General Instructions:
1.
2.
3.

All applicable sections of this form must be completed prior to submission.
All appropriate signatures must be obtained before the form is processed.
For Non-TSA employees, the individual’s organization’s Security Coordinator must sign and date the form prior to
submission to the TSA Sponsor.

Section I – Requestor Information
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

Full Name - Last name, first name, middle initial
Telephone Number - Area code, office telephone number, and extension of the requestor
Employer Name - Name of company for whom the requestor works
Complete Work Address - Employee's physical work address. Include the street number, city, state, and zip code
Job Title - Employee's current position
Fax Number - Area code and number where the employee can send/receive a fax
E-mail Address - Work e-mail address
U.S. Citizen (Required) – Indicate if U.S. Citizen
TSA Employee (Required) – Indicate if TSA employee
Airport 3-Letter Code (Optional) – If affiliated with airport, enter 3-lettter code
Carrier ID (Optional) – If affiliated with airport, enter ID

Section II – Requestor Type
Please select the appropriate box that describes the requestor’s status.

Section III – Request Information
1.

Name of infoBoards board Requesting Access to – Applicants may request access to more than one infoBoards
board on a single infoBoards User Account Request form. Select from the following infoBoards (may select multiple):
TSA InfoBoards Access Management
Locatio
n
HSIN
HSIN
HSIN

AvOps Air Carrier Security (125)
AvOps Air Carrier Security
(ACO500)
AvOps Air Carrier Security
(Private Charter)

Locati
on

Board Name

HSIN

Full All-Cargo Program

HSIN

G7 Transportation
Security Subgroup

iShare

Industry Report

HSIN

International Working
Group on Land Transport
Security
Non-US All Cargo
Security
Screening Partnership
Program
Trilateral Working Group

HSIN

Watchlist

HSIN

AvOps Airport Security
(ACO200)

HSIN

HSIN

AvOps International

HSIN

HSIN
HSIN
HSIN
HSIN

2.

Board Name

AvOps Non-US Air Carrier
Security
AvOps TSA Employee
Certified Cargo Screening
Program (CCSP)
DCA Access Standard Security
Program (DASSP)

HSIN

Details/Reason for Request – A summary of the requestor’s need for access.

Section IV – Requestor Acknowledgment
1.

Subsection A: SSI Information - Read, sign, and date the SSI statement

TSA Form 1427 (2/20) rev. [File: 5000.26]

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OMB Control Number 1652-0065
Exp. 3/31/2025
Section V – Acknowledgement
The Security Coordinator for the requesting individual’s organization must authorize the infoBoard request by printing and
signing their name, along with providing the title and date of signature. This section must be completed and signed prior to
submission to the TSA Sponsor.

Section VI – TSA WebBoard Sponsor Acknowledgement
The TSA Sponsor for the requesting individual’s organization must authorize the infoBoard request by printing and signing
their name, along with providing the title and date of signature. The TSA Sponsor will follow the standard operating
procedures for providing access to the specific infoBoard. Foreign Nationals shall be vetted by DHS prior to receiving a HSIN
account and access to TSA infoBoards.

Section VII – TSA Board Administrator
The Board Administrator for the respective infoBoards board which the user is requesting access.

TSA Form 1427 (2/20) rev. [File: 5000.26]

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