View Information Collection (IC)

View Information Collection (IC)

IC Title:	Security Threat Assessment for Individuals Applying for a Hazardous Materials Endorsement for a Commercial Driver's License	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1572

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			TSA_Form_2214.docx	http://www.hazprints.com	Yes	Yes	Fillable Printable
Other-on-line application			Screen shots - HME.doc	http://www.hazprints.com	No		Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300,854	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	300,854	0	0	-47,146	0	348,000
Annual IC Time Burden (Hours)	977,776	0	0	-153,224	0	1,131,000
Annual IC Cost Burden (Dollars)	26,851,250	0	0	-3,790,150	0	30,641,400

Documents for IC

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.