Information Collection

Critical Facilities Security Review Form

IC 185409 under ICR 202601-1652-004 · OMB 1652-0050.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA Form 1604 Pipeline Security Critical Facility Review Critical Facilities Security Review Form	Form
TSA Form 1604 Pipeline Security Critical Facility Review Copy of Pipeline CFSR Workbook FY2026 Update Clean.xlsx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 15 and 1520

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	TSA Form 1604				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: 80

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	80	0	80
Annual IC Time Burden (Hours)	640	320	320
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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