Sensitive Security Information Threat Assesment Application

Forms and Documents

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

IC Document Collections

IC ID	Document Title	Status
46515	Litigants Form and Instruction	Modified
245779	Agreements with Fingerprinting Form and Instruction	Modified
245776	Bidders with Fingerprinting Form and Instruction	Modified
227228	Other 49 CFR 1520.15(e) Form and Instruction	Modified
227227	Agreements Form and Instruction	Modified
227226	Bidders Form and Instruction	Modified

ICR Details

OMB Control No: 1652-0042	ICR Reference No: 202411-1652-008
Status: Received in OIRA	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	Date Submitted to OIRA: 12/17/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2025
Responses	263	263
Time Burden (Hours)	104	104
Cost Burden (Dollars)	264	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

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

	Total Request	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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