Sensitive Security Information Threat Assesment Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TSA Form 2817A SSI Access Threat Assessment Questionaire - LITIGATION	Form and Instruction	Modified	Repair queued
Form TSA Form 2817A Litigants	Form and Instruction	Modified	Missing upstream
Form TSA Form 2817B SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD	Form and Instruction	Modified	Repair queued
Form TSA Form 2817B Agreements with Fingerprinting	Form and Instruction	Modified	Repair queued
Form TSA Form 2817B SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD	Form and Instruction	Modified	Repair queued
Form TSA Form 2817B Bidders with Fingerprinting	Form and Instruction	Modified	Repair queued
Form TSA Form 2817B SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD	Form and Instruction	Modified	Repair queued
Form TSA Form 2817B Other 49 CFR 1520.15(e)	Form and Instruction	Modified	Repair queued
Form TSA Form 2817B SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD	Form and Instruction	Modified	Repair queued
Form TSA Form 2817B Agreements	Form and Instruction	Modified	Missing upstream
Form TSA Form 2817B SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD	Form and Instruction	Modified	Repair queued
Form TSA Form 2817B Bidders	Form and Instruction	Modified	Repair queued
privacy-pia-tsa-ssi_030.pdf	Supplementary Document	Uploaded 2021-02-18	Available
privacy-pia-tsa-ssi_030.pdf	Supplementary Document	Uploaded 2021-02-18	Repair queued
STA for Conditional Access to SSI PIA_045.pdf	Supplementary Document	Uploaded 2021-02-18	Available
STA for Conditional Access to SSI PIA_045.pdf	Supplementary Document	Uploaded 2021-02-18	Repair queued
49 USC 44912.pdf	Supplementary Document	Uploaded 2021-02-16	Available
49 USC 44912.pdf	Supplementary Document	Uploaded 2021-02-16	Repair queued
EO 12958.pdf	Supplementary Document	Uploaded 2017-07-06	Available
EO 12958.pdf	Supplementary Document	Uploaded 2017-07-06	Repair queued
privacy_pia_tsa_ssi_008.pdf	Supplementary Document	Uploaded 2021-02-18	Repair queued
privacy_pia_tsa_ssi_008.pdf	Supplementary Document	Uploaded 2021-02-18	Repair queued
49 CFR 1520.7,11,15.pdf	Supplementary Document	Uploaded 2017-06-19	Available
49 CFR 1520.7,11,15.pdf	Supplementary Document	Uploaded 2017-06-19	Repair queued
Transportation TSA 49 usc 114 (f), (r).pdf	Supplementary Document	Uploaded 2017-06-19	Available
Transportation TSA 49 usc 114 (f), (r).pdf	Supplementary Document	Uploaded 2017-06-19	Repair queued
1652-0042 SSI TA App. SS.docx	Supporting Statement A	Uploaded 2024-12-17	Available
1652-0042 SSI TA App. SS.docx	Supporting Statement A	Uploaded 2024-12-17	Available
1652-0042 SSI TA App 30DN_89 FR 102155 (12.17.2024).pdf	Supplementary Document	Uploaded 2024-12-17	Repair queued
1652-0042 SSI TA App 30DN_89 FR 102155 (12.17.2024).pdf	Supplementary Document	Uploaded 2024-12-17	Repair queued
SORN 79 FR 46862 (8.11.2014).pdf	Supplementary Document	Uploaded 2017-06-19	Repair queued
SORN 79 FR 46862 (8.11.2014).pdf	Supplementary Document	Uploaded 2017-06-19	Repair queued
1652-0042 SSI TA App 60DN_89 FR 77883 (9.24.2024).pdf	Supplementary Document	Uploaded 2024-11-25	Available
1652-0042 SSI TA App 60DN_89 FR 77883 (9.24.2024).pdf	Supplementary Document	Uploaded 2024-11-25	Repair queued
DHS Appropriations Act PL109-295 sec 525.pdf	Supplementary Document	Uploaded 2017-06-19	Available
DHS Appropriations Act PL109-295 sec 525.pdf	Supplementary Document	Uploaded 2017-06-19	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46515	Litigants	Form and Instruction	Modified	SSI Access Threat Assessment Questionaire - LITIGATION
46515	Litigants	Form and Instruction	Modified
46515	Litigants	Instruction	Modified
245779	Agreements with Fingerprinting	Form and Instruction	Modified	SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD
245779	Agreements with Fingerprinting	Form and Instruction	Modified
245776	Bidders with Fingerprinting	Form and Instruction	Modified	SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD
245776	Bidders with Fingerprinting	Form and Instruction	Modified
227228	Other 49 CFR 1520.15(e)	Form and Instruction	Modified	SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD
227228	Other 49 CFR 1520.15(e)	Form and Instruction	Modified
227227	Agreements	Form and Instruction	Modified	SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD
227227	Agreements	Form and Instruction	Modified
227226	Bidders	Form and Instruction	Modified	SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD
227226	Bidders	Form and Instruction	Modified

ICR Details

OMB Control No: 1652-0042	ICR Reference No: 202411-1652-008
Status: Active	Previous ICR Reference No: 202102-1652-001
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: Sensitive Security Information Threat Assesment Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/08/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/17/2024
Terms of Clearance: The agency has done an admirable job reducing and eliminating redundancy of programs relying on similar or the same security threat assessments across the Federal Government. The agency is encouraged to continue to look for ways to allow for mutual recognition with all government programs where appropriate. The agency updated the collection to change the term 'gender' to 'sex' in alignment with Administration policy.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2028	36 Months From Approved	04/30/2025
Responses	263	0	263
Time Burden (Hours)	104	0	104
Cost Burden (Dollars)	264	0	320

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Abstract: TSA is implementing Section 525 of the DHS Appropriations Act by establishing a process whereby a party seeking access to SSI in a civil proceeding in federal court that demonstrates a substantial need for relevant SSI in preparation of the party's case may request that the party, party representative or court reporter be granted access to the SSI. In order to determine if the individual may be granted access to SSI for this purpose, TSA will conduct a criminal history records check (CHRC) and threat assessment. Individuals will be required to submit information including identifying information and an explanation supporting the party's need for the information.

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Authorizing Statute(s): PL: Pub.L. 109 - 295 525 Name of Law: DHS Appropriations Act
   EO: EO 12958 Name/Subject of EO: Classified National Security Information
   US Code: 49 USC 114 (f), (r) Name of Law: ATSA
   US Code: 49 USC 44912(d) Name of Law: ATSA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 77883	09/24/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 102155	12/17/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Agreements	TSA Form 2817B	SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD
Agreements with Fingerprinting	TSA Form 2817B	SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD
Bidders	TSA Form 2817B	SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD
Bidders with Fingerprinting	TSA Form 2817B	SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD
Litigants	TSA Form 2817A	SSI Access Threat Assessment Questionaire - LITIGATION
Other 49 CFR 1520.15(e)	TSA Form 2817B	SSI ACCESS THREAT ASSESSMENT QUESTIONNAIRE - STANDARD

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	263	263	0	0	0	0
Annual Time Burden (Hours)	104	104	0	0	0	0
Annual Cost Burden (Dollars)	264	320	0	0	-56	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $12,514

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/17/2024

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