Sensitive Security Information Threat Assesment Application

Forms and Documents

Document Name	Status
Form TSA Form 2211 SSI Access Threat Assessment Questionnaire Form and Instruction	Modified
SSI_STA_Sup_St doc-1-25-11.doc Supporting Statement A	2011-01-26
30 Day Notice.pdf Supplementary Document	2010-10-19
SORN.doc Supplementary Document	2010-10-13
SSI_60_Day_FR_Notice.pdf Supplementary Document	2010-10-08
SSI PRA authorities[1].pdf Supplementary Document	2007-10-09

IC Document Collections

IC ID	Document Title	Status
46515	SSI Access Threat Assessment Questionnaire Form and Instruction	Modified

ICR Details

OMB Control No: 1652-0042	ICR Reference No: 201010-1652-001
Status: Historical Active	Previous ICR Reference No: 200710-1652-001
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: Sensitive Security Information Threat Assesment Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/02/2011
	Date Received in OIRA: 10/19/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2014	36 Months From Approved	02/28/2011
Responses	180	0	180
Time Burden (Hours)	486	0	180
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): US Code: 49 USC 114(s) Name of Law: ATSA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 44974	07/30/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 63499	10/15/2010
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
SSI Access Threat Assessment Questionnaire	TSA Form 2211	SSI Access Threat Assessment Questionnaire

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ICR Summary of Burden

	Total Approved	Previously Approved	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	180	180	0	0	0	0
Annual Time Burden (Hours)	486	180	0	0	306	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in burden hours is based on actually time for the total process. This time we added the fingerprint set up time, indentity check, wait time and travel time.

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Annual Cost to Federal Government: $11,961

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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.

Certification Date: 10/19/2010

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