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: Modified

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
Form and Instruction	TSA Form 2212	TWIC® Disclosure and Certification	TWIC Disclosure Form TSA_Form 2212_March 2017.docx	https://universalenroll.dhs.gov/	Yes	Yes	Fillable Printable
Other-Screenshots			TWIC - Pre-enroll.pptx	https://universalenroll.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: 25,986	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	25,986	0	0	-94,434	0	120,420
Annual IC Time Burden (Hours)	31,962	0	0	11,491	0	20,471
Annual IC Cost Burden (Dollars)	3,254,747	0	0	-12,369,748	0	15,624,495

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.