OMB control number

Sensitive Security Information Threat Assesment Application

OMB 1652-0042 · DHS/TSA.

OMB 1652-0042

TSA is implementing Section 525 of the DHS Appropriations Act by establishing a process whereby a party seeking access to SSI in a civil proceeding in federal court that demonstrates a substantial need for relevant SSI in preparation of the party's case may request that the party, party representative or court reporter be granted access to the SSI. In order to determine if the individual may be granted access to SSI for this purpose, TSA will conduct a criminal history records check (CHRC) and threat assessment. Individuals will be required to submit information including identifying information and an explanation supporting the party's need for the information.

The latest form for Sensitive Security Information Threat Assesment Application expires 2028-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form TSA Form 2817A Litigants Form and Instruction
Form TSA Form 2817B Agreements with Fingerprinting Form and Instruction
Form TSA Form 2817B Bidders with Fingerprinting Form and Instruction
Form TSA Form 2817B Other 49 CFR 1520.15(e) Form and Instruction
Form TSA Form 2817B Agreements Form and Instruction
Form TSA Form 2817B Bidders Form and Instruction
privacy-pia-tsa-ssi_030.pdf Supplementary Document
STA for Conditional Access to SSI PIA_045.pdf Supplementary Document
49 USC 44912.pdf Supplementary Document
EO 12958.pdf Supplementary Document
privacy_pia_tsa_ssi_008.pdf Supplementary Document
49 CFR 1520.7,11,15.pdf Supplementary Document
Transportation TSA 49 usc 114 (f), (r).pdf Supplementary Document
1652-0042 SSI TA App. SS.docx Supporting Statement A
1652-0042 SSI TA App 30DN_89 FR 102155 (12.17.2024).pdf Supplementary Document
SORN 79 FR 46862 (8.11.2014).pdf Supplementary Document
1652-0042 SSI TA App 60DN_89 FR 77883 (9.24.2024).pdf Supplementary Document
DHS Appropriations Act PL109-295 sec 525.pdf Supplementary Document
Litigants Form and Instruction
Agreements with Fingerprinting Form and Instruction
Bidders with Fingerprinting Form and Instruction
Other 49 CFR 1520.15(e) Form and Instruction
Agreements Form and Instruction
Bidders Form and Instruction

All Historical Document Collections

202411-1652-008	Extension without change of a currently approved collection	2024-12-17
202102-1652-001 Approved with change	Revision of a currently approved collection	2021-03-18
201706-1652-001 Approved with change	Revision of a currently approved collection	2017-07-13
201401-1652-002 Approved without change	Extension without change of a currently approved collection	2014-02-28
201010-1652-001 Approved with change	Extension without change of a currently approved collection	2010-10-19
200710-1652-001 Approved without change	Extension without change of a currently approved collection	2007-10-10
200706-1652-002 Improperly submitted and continue	Extension without change of a currently approved collection	2007-07-16
200612-1652-001 Approved with change	New collection (Request for a new OMB Control Number)	2006-12-22

OMB Details

Litigants

Federal Enterprise Architecture: Homeland Security - Border and Transportation Security

Form TSA Form 2817A	SSI Access Threat Assessment Questionaire - LITIGATION	Fillable Fileable	Form and instruction
Form		universalenroll.dhs.gov/	Instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.