Information Collection

RSSP Requests

IC 237033 under ICR 202601-1652-002 · OMB 1652-0073.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA Form 459 TSA REIMBURSABLE SCREENING SERVICES PROGRAM (RSSP) PILOT REQUEST RSSP Requests	Form and Instruction
TSA Form 459 TSA REIMBURSABLE SCREENING SERVICES PROGRAM (RSSP) PILOT tsa_form_459_final-231115_508c.pdf www.tsa.gov/for-industry/reimbursable-screening-services-program	Form and Instruction

IC Title:

RSSP Requests

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 459			https://www.tsa.gov/for-industry/reimbursable-screening-services-program	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	480	480
Annual IC Cost Burden (Dollars)	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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