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UNCLASSIFIED

TRANSPORTATION SECURITY ADMINISTRATION

TSA PreCheckTM Application Program

PRA Mock Ups (Renewals)

Derived from: Multiple Sources; Declassify on: 25x1-human; Date of Source: 20091007

UNCLASSIFIED

TSA PreCheck Enrollment and Renewal Tree
TSA PreCheck Enrollment and Renewal Tree

Please select whether you want to enroll in the TSA PreCheck Application Program or renew in the TSA PreCheck Application Program

New Enrollment

Renewal

Notice of Eligibility

Known Traveler Number Query

Biographic Information

Notice of Eligibility

Citizenship

Address Information Updates

Attributes

Contact Information Updates

Address Information

Document Updates

Contact Information

Attestation

Documents

Payment

Attestation

Post Renewal Survey

Biometrics*
Payment
Post Enrollment Survey*
* All Items except Biometrics and the Post
Enrollment Survey may be done in a pre-enrollment
option online.

All renewal items may be done online unless you
have had a change in biographic information (name
change) or have been informed you must submit
additional biometrics

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

2

TSA PreCheck Renewal Start
TSA PreCheck Renewal Start

Thank you for choosing to renew in the TSA PreCheck Application Program!

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

3

TSA PreCheck Privacy Act Statement

PRIVACY ACT STATEMENT
Authority: 6 U.S.C. § 1140, 46 U.S.C. § 70105; 49 U.S.C. §§ 106, 114, 5103a, 40103(b) (3), 40113, 44903, 44935-44936, 44939, and 46105; the Implementing
Recommendations of the 9/11 Commission Act of 2007, § 1520 (121 Stat. 444, Public Law 110-52, August 3, 2007); and Executive Order 9397, as amended.
Purpose: The Department of Homeland Security (DHS) will use your information to conduct a security threat assessment. Biometrics collected from
applications to the TSA PreCheck Application Program may also be used to conduct screening at airport checkpoints. Your fingerprints and associated
information will be provided to the Federal Bureau of Investigation (FBI) for the purpose of comparing your fingerprints to other fingerprints in the FBI’s Next
Generation Identification (NGI) system or its successor systems including civil, criminal, and latent fingerprint repositories. The FBI may retain your fingerprints
and associated information in NGI after the completion of this application and, while retained, your fingerprints may continue to be compared against other
fingerprints submitted to or retained by NGI. DHS will also transmit your fingerprints for enrollment into Automated Biometrics Identification System (IDENT). If
you provide your Social Security Number (SSN), DHS may provide your name and SSN to the Social Security Administration (SSA) to compare that information
against SSA records to ensure the validity of the information.
Routine Uses: This system may disclose information in accordance with the Privacy Act, 5 U.S.C. 552a(b), including as a routine use pursuant to 5 U.S.C 552a(b)
(3) with third parties during the course of a security threat assessment, employment investigation, or adjudication of a waiver or appeal request to the extent
necessary to obtain information pertinent to the assessment, investigation, or adjudication of your application under the TSA system of records notice (SORN)
DHS/TSA 002, Transportation Security Threat Assessment System, or DHS/TSA 021, TSA PreCheck Application Program for applicants to that program.
Disqualifying criminal offenses uncovered during your application limit your ability to access TSA PreCheck expedited screening. For as long as your fingerprints
and associated information are retained in NGI, your information may be disclosed pursuant to your consent or without your consent as permitted by the
Privacy Act of 1974 and all applicable Routine Uses as may be published at any time in the Federal Register, including the Routine Uses for the NGI system and
the FBI’s Blanket Routine Uses.
Disclosure: Furnishing this information (including your SSN) is voluntary; however, if you do not provide your SSN or any other information requested, DHS may
be unable to complete your application for a security threat assessment.

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

4

TSA PreCheck Paperwork Reduction Act

PAPERWORK REDUCTION ACT STATEMENT:
Statement of Public Burden: This is a voluntary collection of information, but failure to provide the
information may result in an inability to approve your eligibility for the requested TSA program or
benefit. TSA estimates that the total average burden per response associated with this collection for
enrollment is approximately 30 minutes. 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 for this collection is OMB 1652-0059, which expires Month XX, 20XX. Send
comments regarding our estimate or any other aspect of this collection, including suggestions for
reducing burden, to DHS/TSA, [email protected] or TSA-11, Transportation Security
Administration, 6595 Springfield Center Drive, Springfield, Virginia 20598-6011. Attn: PRA 1652-0059
TSA PreCheck Application.

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

5

TSA PreCheck Enrollment Start
Known Traveler Number (KTN) Query
START
Known
Traveler
Number
Query

Please provide your KTN, Date of Birth, and Last Name. If you do not know
your KTN please use this link to Lookup your KTN.

Notice of
Eligibility
Questions

KTN Query

Address
Information
Contact
Information

* KTN:

Documents

* Date of Birth: MM/DD/YYYY

Attestation

* Legal Last Name:

Payment

Post Renewal
Survey

FINISH

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

6

TSA PreCheck Notice of Eligibility Questions
1. f

2. Are you a U.S. Citizen, U.S. National or Lawful Permanent Resident?

START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Attestation

Payment

Post Renewal
Survey

FINISH

Applicant Eligibility Questions
YES

NO

YES

NO

YES

NO

YES

NO

5. Are you wanted or under indictment for any disqualifying crime listed in
TSA Eligibility Requirements, Parts A or B?

YES

NO

6. Have you ever been found by a court or other lawful authority as lacking mental
capacity or involuntarily committed to a mental institution?

YES

NO

2. Excluding juvenile cases unless convicted as an adult, have you been convicted,
pled guilty including “no contest” (nolo contendere), or found not guilty by reason
of insanity, of any disqualifying felony listed in TSA Eligibility Requirements, Part A,
in any jurisdiction, military or civilian?
3. Excluding juvenile cases unless convicted as an adult, have you been convicted,
pled guilty including “no contest” (nolo contendere), or found not guilty by reason
of insanity, of any disqualifying felony listed in TSA Eligibility Requirements, Part B,
in any jurisdiction, military or civilian, during the 7 years before the date of this
application?
4. Have you been released from incarceration in any jurisdiction, military or civilian,
for committing any disqualifying felony listed in TSA Eligibility Requirements, Part B,
during the 5 years before the date of this application?

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

7

TSA PreCheck Address Information
Applicant Address Information
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions

1. * Is your mailing address the same as your residential address?

NO

YES
NO
2. * Have you lived at your current residential address for more than five (5) years?

Address
Information
Contact
Information

YES

Residential Address
* Country: Choose One

Documents

* Address Line 1:
Attestation

Payment

Post Renewal
Survey

FINISH

Address Line 2:
* City:
* State/Province:

* Postal Code:
All fields marked with * are required fields

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

8

TSA PreCheck Address Information
Applicant Address Information

START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information

Previous Residential Address
* Country: Choose One
* Address Line 1:

Contact
Information

Address Line 2:
Documents

Attestation

Payment

* City:
* State/Province:

* Postal Code:

Post Renewal
Survey

FINISH

All fields marked with * are required fields

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

9

TSA PreCheck Address Information
Applicant Address Information

START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Attestation

Payment

Mailing Address
* Country: Choose One
* Address Line 1:
Address Line 2:
* City:
* State/Province:

* Postal Code:

Post Renewal
Survey

FINISH

All fields marked with * are required fields

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

10

TSA PreCheck Contact Information
Applicant Contact Information
START
Known
Traveler
Number
Query

You must choose at least one method of contact. Please select yes or no to
opt-in to receiving important TSA PreCheck updates via email or phone.

Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Email 1:

YES

NO

Email 2:

YES

NO

Phone 1:

* Text Messaging:

YES

NO

YES

NO

Phone 2:

* Text Messaging:

YES

NO

YES

NO

Attestation

Payment

Post Renewal
Survey

* Please select yes or no to opt-in to receive important updates and other TSA PreCheck information
via text messaging. Text messaging rates may apply

FINISH

All fields marked with * are required fields

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

11

TSA PreCheck Documents
Applicant Document Information
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Please note that if an applicant has changed their name since their
original enrollment, the applicant is NOT permitted to renew online.
These applicants shall be required to enroll in-person, presenting an
unexpired government-issued photo identity document that contains
their new name or go through TSA’s existing name change process prior
to online renewal.

Please select the “Identity Proving Documents” you shall provide for
this renewal. Click this link for list of acceptable documents with
descriptions.

Documents

Attestation

* Document: Choose One

Payment

Post Renewal
Survey

Upload Document

FINISH

All fields marked with * are required fields. Based upon the type of document uploaded, the vendor will
dynamically need to collect required key data elements.

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

12

TSA PreCheck Attestation
Attestation

START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Attestation

Payment

Post Renewal
Survey

 I understand my continuing obligation to notify TSA within 24 hours if I am
convicted or found not guilty by reason of insanity of any disqualifying crime, or
adjudicated as a mental defective or committed to a mental institution, while I
am enrolled in the TSA PreCheck Application Program.
 The Information I provided on this application is true, complete, and correct to
the best of my knowledge and belief and is provided in good faith. I
understand that a knowing and willful false statement, or an omission of a
material fact can be punished by fine or imprisonment or both (see section
1001 of Title 18 United States Code), and may be grounds for denial of my
application for the TSA PreCheck Application Program by TSA.
Please check each block above acknowledging you have read the statements and agree to all terms and
conditions of the TSA PreCheck Application Program

FINISH

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

13

TSA PreCheck Payment
Payment
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Please select the payment method for your TSA PreCheck
Application Payment:
Choose One
Please enter a TSA PreCheck coupon or promotion code:

Documents

Attestation

Pay

Payment

Post Renewal
Survey

Is your mailing address the same as your billing address?

YES

NO

FINISH

All fields marked with * are required fields

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

14

TSA PreCheck Payment
Payment
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information

Billing Address
* Country: Choose One
* Address Line 1:

Contact
Information

Address Line 2:
Documents

Attestation

Payment

* City:
* State/Province:

* Postal Code:

Post Renewal
Survey

FINISH

All fields marked with * are required fields

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

15

TSA PreCheck Post Renewal Survey
Post Renewal Survey
Do you want to participate in this optional survey?YES

START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Attestation

Payment

Post Renewal
Survey

FINISH

NO

1. How satisfied are you with your overall renewal experience?
o Very satisfied
o Satisfied
o Neither satisfied or dissatisfied
o Dissatisfied
o Very dissatisfied
2. If you experienced an issue that required a resolution, how satisfied are
you with the resolution?
o Very satisfied
o Satisfied
o Neither satisfied or dissatisfied
o Dissatisfied
o Very dissatisfied
o N/A

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

16

TSA PreCheck Post Renewal Survey
Post Renewal Survey

START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Attestation

Payment

Post Renewal
Survey

3. How did you first learn about TSA PreCheck?
o Signage at the airport
o Family Member/Friend
o Co-Worker/Employer
o News Outlet (stories in digital, radio, TV, etc.)
o Advertisement (digital, social media ads, radio, video, billboards,
etc.)
o Government Website
o Other Internet Site
o Credit Card/Loyalty Program
o Another TSA PreCheck Member
o Other (Please specify):

FINISH

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

17

TSA PreCheck Post Renewal Survey
Post Renewal Survey
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Attestation

Payment

Post Renewal
Survey

FINISH

4. What were the most important factors in your decision to renew in TSA
PreCheck? (Please check all that apply.)
o Saves me time at the airport
o Easier, more efficient screening process (no need to remove shoes,
belts, liquids, electronics)
o Relieves stress associated with security screening
o Ease of enrollment compared to Global Entry or other Trusted
Traveler Program
o Travel companions/co-workers are members
o Other (please specify):
5. Please complete the following: For the value, the cost of TSA PreCheck
enrollment is…
o Too expensive
o Somewhat expensive
o A good value
o Somewhat inexpensive
o Too inexpensive

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

18

TSA PreCheck Post Renewal Survey
Post Renewal Survey
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Attestation

6. How did you pay for your TSA PreCheck application fee?
o Paid myself
o Used points/miles with a participating loyalty program provider
o Used a credit card that reimburses enrollment fees
o Company / employer will reimburse enrollment fees
o Other – please specify:

Payment

Post Renewal
Survey

FINISH

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

19

TSA PreCheck Post Renewal Survey
Post Renewal Survey
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Attestation

Payment

Post Renewal
Survey

7. Having completed TSA PreCheck renewal, how likely are you to
recommend signing up to others?
o Highly likely
o Somewhat likely
o Neutral
o Somewhat unlikely
o Highly unlikely
8. In the past year, how many trips, if any, have you taken that included air
travel? One trip is defined as the period from when you leave home to
when you return home. If a trip included multiple destinations, please
count that as only one trip. Please provide your best estimate for each
type.
• Leisure travel/travel for pleasure:
• Business travel:

FINISH

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

20

TSA PreCheck Post Renewal Survey
Post Renewal Survey
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Attestation

Payment

9. How far in advance do you typically book your flights? Please select one
response for leisure travel and one response for business travel.
Leisure

•
•
•
•
•
•
•
•
•

Business

The week of the travel
2 to 3 weeks
4 to 5 weeks
6 to 7 weeks
2 months
3 to 4 months
5 or more months
Unsure/I don’t know
Not Applicable

Post Renewal
Survey

FINISH

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

21

TSA PreCheck Post Renewal Survey
Post Renewal Survey
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions

10. If you have any additional feedback about your experience that you
would like to provide, please provide it here.

Address
Information
Contact
Information

Free Text

Documents

Attestation

Payment

Post Renewal
Survey

SUBMIT

FINISH

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

22

TSA PreCheck Post Renewal Survey
Post Renewal Survey
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Attestation

Payment

Did the enrollment representative(s) conduct themselves in a professional
and courteous manner? (Asked for in-person enrollments only)
o Yes
o No
How satisfied are you with the enrollment location and appearance? (Asked
for in-person enrollments only)
o Very satisfied
o Satisfied
o Neither satisfied or dissatisfied
o Dissatisfied
o Very dissatisfied

Post Renewal
Survey

FINISH

These two questions are only asked during an in-person renewal.
* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

23

TSA PreCheck Post Renewal Survey
Post Renewal Survey
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions
Address
Information
Contact
Information

Documents

Please estimate the total amount of time you spent on the TSA PreCheck
enrollment process including filling out the online enrollment application,
traveling to and from the enrollment location, and time spent at the
enrollment location:
o Less than 30 minutes
o 30-60 minutes
o 60-90 minutes
o More than 90 minutes

Attestation

Payment

Post Renewal
Survey

FINISH

This question is only asked during an in-person renewal.
* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

24

TSA PreCheck Renewal Finish
Enrollment Finish
START
Known
Traveler
Number
Query
Notice of
Eligibility
Questions

Thank you for renewing in the TSA PreCheck Application Program!

Address
Information
Contact
Information

Documents

Attestation

Payment
Post
Enrollment
Survey
FINISH

* All screenshots are examples only and actual enrollment screens may differ between TSA PreCheck enrollment providers.

25