Information Collection

Tpo

IC 229098 under ICR 202412-1652-002 · OMB 1652-0069.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA Form 412 TPO	Form and Instruction
Form TSA Form 412 Travel Support Request TPO	Form and Instruction
TSA Form 412 Travel Support Request TSA Form 412 12.5.24.pdf	Form and Instruction
TSA Form 412 Travel Support Request TSA Form 412 12.5.24.pdf	Form and Instruction

IC Title:

TPO

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 412				Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: Transportation Security Enforcement Record System

FR Citation: 78 FR 73868

Number of Respondents: 4,045

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,045	-505	4,550
Annual IC Time Burden (Hours)	337	-42	379
Annual IC Cost Burden (Dollars)	0	0	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.

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