Information Collection

Correction of Record

IC 208796 under ICR 202605-1652-002 · OMB 1652-0059.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PreCheck PDI template.pdf www.tsa.gov/tsa-precheck	Other-Instructions-Sample

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 1572.201

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
Other-Instructions-Sample				http://www.tsa.gov/tsa-precheck	Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,191

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,191	64	1,127
Annual IC Time Burden (Hours)	7,149	385	6,764
Annual IC Cost Burden (Dollars)	1,191	64	1,127

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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