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Brief and OIRA conclusion
Common Form Info.
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
ICR Reference No:
Previous ICR Reference No:
Agency Tracking No:
Transportation Worker Identification Credential
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
Type of Review Request:
Approval Requested By:
OIRA Conclusion Action:
Approved without change
Retrieve Notice of Action (NOA)
Date Received in OIRA:
Terms of Clearance:
TSA should ensure that the supporting statement associated with the next submission of this ICR accurately reflects any changes to the method of collection, and any burden impact that may have.
Inventory as of this Action
Time Burden (Hours)
Cost Burden (Dollars)
The data collected will be used for the application of individual workers to retain a TWIC credential for security identification purposes. The data will be collected and a Security Threat Assessment will be conducted on the individual with outreach too appropriate agency databases. When the individual is cleared they will be provided a credential containing information for identification verification at either maritime facilities or vessel locations. This has been required by the MTSA Maritime Transportation Security Act of 2002.
When OMB concluded on the previous submission of this ICR on 06/28/2012, it provided the following Terms of Clearance: TSA should submit an Emergency Information Collection Request, to reflect changes to the program and burden hours that will result from the Exemption Notice published in the Federal Register on June 19, 2012 (49 CFR Part 1572 [Docket No. TSA200624191]). This submission is in response to those terms.
Pub.L. 107 - 71 106
Name of Law: ATSA
Pub.L. 107 - 295 102
Name of Law: MTSA
Citations for New Statutory Requirements:
Associated Rulemaking Information
Stage of Rulemaking:
Federal Register Citation:
Not associated with rulemaking
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
Number of Information Collection (IC) in this ICR:
TSA 2212, null
TWIC Disclosure Form
TWIC Waiver and Appeals
Extended Expiration Date (EED) Application
ICR Summary of Burden
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
Annual Time Burden (Hours)
Annual Cost Burden (Dollars)
Burden increases because of Program Change due to Agency Discretion:
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Burden Reduction Due to:
Annual Cost to Federal Government:
Does this IC contain surveys, censuses, or employ statistical methods?
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Susan Perkins 571 227-3398 Susan.Perkins@tsa.dhs.gov
Common Form ICR:
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.