Speaker Request Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1652-0075 Speaker Request Form SS.docx	Supporting Statement A	Uploaded 2025-04-23	Available
1652-0075 Speaker Request Form SS.docx	Supporting Statement A	Uploaded 2025-04-23	Repair queued
1652-0075 Speaker Request Form 30DN_90 FR 17074 (4.23.2025).pdf	Supplementary Document	Uploaded 2025-04-23	Available
1652-0075 Speaker Request Form 30DN_90 FR 17074 (4.23.2025).pdf	Supplementary Document	Uploaded 2025-04-23	Repair queued
DHS MD 110-02.pdf	Supplementary Document	Uploaded 2021-07-23	Available
DHS MD 110-02.pdf	Supplementary Document	Uploaded 2021-07-23	Repair queued
49 USC 114 d_f.pdf	Supplementary Document	Uploaded 2021-07-23	Available
49 USC 114 d_f.pdf	Supplementary Document	Uploaded 2021-07-23	Repair queued
1652-0075 Speaker Request Form 60DN_89 FR 105620 (12.27.2024).pdf	Supplementary Document	Uploaded 2025-04-18	Available
1652-0075 Speaker Request Form 60DN_89 FR 105620 (12.27.2024).pdf	Supplementary Document	Uploaded 2025-04-18	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
248525	TSA Speaker Requestor	Other-Electronic form	Modified

ICR Details

OMB Control No: 1652-0075	ICR Reference No: 202504-1652-001
Status: Active	Previous ICR Reference No: 202107-1652-003
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: Speaker Request Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/24/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/24/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2028	36 Months From Approved	08/31/2025
Responses	300	0	300
Time Burden (Hours)	50	0	50
Cost Burden (Dollars)	0	0	0

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Abstract: Under the Aviation and Transportation Security Act (ATSA), TSA is responsible for security in all modes of transportation, including screening operations for passenger air transportation and for carrying out such other duties it considers appropriate relating to transportation security. See sec. 101(a) of ATSA, Pub. L. 107-71 (115 Stat. 597-598, Nov. 19, 2001), as codified at 49 U.S.C. 114(d) and (f). DHS Directive 110-02 established the Department of Homeland Security (DHS) policy with respect to the acceptance of public speaking invitations by DHS employees and formally implemented the Office of Public Affairs DHS Speakers Bureau as well as DHS Component speaker bureaus. Based on these requirements, TSA created its own Speaker Bureau and modeled it after the DHS Speakers Bureau process to allow for the acceptance of public speaking invitations. To comply with the policy, TSA created the Speaker Request Form, which collects information on the requestor and the event a speaker would attend.

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Authorizing Statute(s): PL: Pub.L. 107 - 71 101(a) Name of Law: Aviation and Transportation Security Act
  

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 105620	12/27/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 17074	04/23/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
TSA Speaker Requestor

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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	300	300	0	0	0	0
Annual Time Burden (Hours)	50	50	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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: $41,863

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.     No

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:  Yes

Description/Changes for Common Form Usage: 

Approved RCFs using this ICR

table that charts list of RCF

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
DHS/USICE	202507-1653-001CF	ICE Speaker Request Form	Active	TSA Speaker Requestor

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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: 04/24/2025

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