Form TSA Form 424 TSA Form 424 Screening Partnership Program Application

DEPARTMENT OF HOMELAND SECURITY

OMB Control Number: 1652-0064
Exp. 7/31/2025

Transportation Security Administration
SCREENING PARTNERSHIP PROGRAM APPLICATION

INSTRUCTIONS: Complete a separate application for each airport. An authorized representative of the airport or the airport
ow ner must complete the application. The application must be completed in full to be considered for approval by TSA. Attach all
supporting documentation to the application and use separate sheets if more detail is needed. Please provide a copy of the
completed application to the Federal Security Director.
SECTION I. Airport Inform ation
Request Date
Airport Name
FAA Identifier
Airport Operating Authority
SECTION II. Contact Inform ation
Authorized Requestor
Primary Phone Number

Position
Alternate Phone Number

Mailing Address

Primary Email Address
Alternate Email Address

SECTION III. Required Inform ation
1.

Indicate if the requesting airport authority seeks to provide or may seek to provide the private security screening services at
the airport. Airports interested in providing their ow n private security screening services must submit a proposal (per
instructions posted on sam.gov) and compete for contract aw ard in accordance w ith the Competition in Contracting Act and
the Federal Acquisition Regulation.
YES
NO

2.

3.

Per 49 U.S.C.44920 as amended by the FAA Modernization and Reform Act of 2012 (P.L. 112-95), the airport authority shall
provide a recommendation as to w hich company w ould best serve the security screening and passenger needs of the airport,
along w ith a statement explaining the basis of the airport operator’s recommendation. NOTE: The recommendation provided
below is for application purposes only. TSA is under no obligation to contract with the airport operator / authority’s
recommended vendor.
a.

Airport Operator's recommended company. Provide the full company name and address.

b.

Statement explaining the basis of the Operator's recommendation. Additional pages may be attached if necessary.

Does the airport have any activities planned w ithin the 18 months, such as major construction or significant volume
adjustments that w ould affect the screening operation?
YES

NO
Previous editions of this form is obsolete.

PAPERWORK REDUCTION ACT BURDEN STATEMENT: TSA’s Screening Partnership Program (SPP) (49 U.S.C. § 44920 (ATSA
§108)) enables commercial airports to apply for a private screening company to provide passenger and baggage security screening
services. Transportation Security Administration estimates that the average burden for collection is 15 minutes per response. This is a
voluntary collection of information. You may submit any comments concerning the accuracy of this burden estimate or any suggestions
for reducing the burden to: TSA-11, Attention: PRA 1652-0064, 6595 Springfield Center Drive, Springfield, VA 22150. 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 No. 1652-0064, w hich expires 7/31/2025.
TSA Form 424 (10/22) rev. [File: 400.21.1]

Page 1 of 2

SECTION IV. Optional Inform ation
4. Provide any additional information you w ould like TSA to consider during the evaluation of this application. Additional pages
may be attached if necessary.

SECTION V. Signature
Upon execution of this application, the authorized representative, (specified as the primary point of contact in this document)
hereby requests the TSA Administrator to approve this application to have the screening of passengers and property at the airport
conducted by a privatized screening company contracted to the TSA, as provided for under Section 44901 of the Aviation and
Transportation Security Act, as amended.
TSA w ill evaluate this application in accordance w ith the criteria specified in section 44920, as amended, of Title 49, United
States Code. If the application is approved, the airport operator understands that any potential contract resulting from the
submission of this application w ill be aw arded and administered by TSA in accordance w ith the Competition in Contracting Act
and the Federal Acquisition Regulation.

Signature

Print Name

Date of Application

Previous editions of this form is obsolete.
PAPERWORK REDUCTION ACT BURDEN STATEMENT: TSA’s Screening Partnership Program (SPP) (49 U.S.C. § 44920 (ATSA
§108)) enables commercial airports to apply for a private screening company to provide passenger and baggage security screening
services. Transportation Security Administration estimates that the average burden for collection is 15 minutes per response. This is a
voluntary collection of information. You may submit any comments concerning the accuracy of this burden estimate or any suggestions
for reducing the burden to: TSA-11, Attention: PRA 1652-0064, 6595 Springfield Center Drive, Springfield, VA 22150. 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 No. 1652-0064, w hich expires 7/31/2025.

TSA Form 424 (10/22) rev. [File: 400.21.1]

Page 2 of 2