View Information Collection (IC)

View Information Collection (IC)

IC Title:	TWIC Pre-Enrollment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 1572.201

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Pre-Enrollment%20Screen%20Shots%20080307a.pdf	www.twicprogram.tsa.dhs.gov	Yes	Yes	Fillable Printable
Form	TSA Form 2212	Transportation Worker Identification Credential (TWIC) Disclosure Form	TWIC Applicant Certification Form 2212 10-05-07 rev a.doc	www.twicprogram.tsa.dhs.gov	Yes	Yes	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: 412,234	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	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	412,234	0	412,234	0	0	0
Annual IC Time Burden (Hours)	206,117	0	206,117	0	0	0
Annual IC Cost Burden (Dollars)	54,621,005	0	54,621,005	0	0	0

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.