Sensitive Security Information Threat Assesment Application

Forms and Documents

Document Name	Status
Form TSA Form 2211 SSI Access Threat Assessment Questionnaire Form	Modified
EO 12958.pdf Supplementary Document	2017-07-06
privacy_pia_tsa_ssi.pdf Supplementary Document	2017-06-19
49 CFR 1520.7,11,15.pdf Supplementary Document	2017-06-19
Transportation TSA 49 usc 114 (f), (r).pdf Supplementary Document	2017-06-19
1652-0042 SSI TA App. SS 2.21.2018.docx Supporting Statement A	2018-02-21
1652-0042 SSI TA App 30DN 82FR27852 (6.19.2017).pdf Supplementary Document	2017-06-19
SORN 79 FR 46862 (8.11.2014).pdf Supplementary Document	2017-06-19
1652-0042 SSI TA App 60DN 81FR85243 (11.25.2016).pdf Supplementary Document	2017-06-19
DHS Appropriations Act PL109-295 sec 525.pdf Supplementary Document	2017-06-19

IC Document Collections

IC ID	Document Title	Status
46515	SSI Access Threat Assessment Questionnaire Form	Modified
227228	Other	New
227227	Agreements	New
227226	Bidders	New

ICR Details

OMB Control No: 1652-0042	ICR Reference No: 201706-1652-001
Status: Active	Previous ICR Reference No: 201401-1652-002
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: Sensitive Security Information Threat Assesment Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/29/2018
	Date Received in OIRA: 07/13/2017
Terms of Clearance: The agency is receiving 13771 deregulatory credit for the policy change to allow KTNs to satisfy the requirements for an SSI Threat Assessment Application. The agency is encouraged to continue to find ways to streamline similar government background check programs as these programs often collect similar information.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	36 Months From Approved	03/31/2018
Responses	263	0	127
Time Burden (Hours)	275	0	343
Cost Burden (Dollars)	102	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 (f), (r) Name of Law: ATSA
   PL: Pub.L. 109 - 295 525 Name of Law: DHS Appropriations Act
   EO: EO 12958 Name/Subject of EO: Classified National Security Information
  

Citations for New Statutory Requirements: None

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EO 13771 Designation: Deregulatory

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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:
	81 FR 85243	11/25/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 27852	06/19/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
SSI Access Threat Assessment Questionnaire	TSA Form 2211	SSI Access Threat Assessment Questionaire
Bidders
Agreements
Other

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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	263	127	0	0	136	0
Annual Time Burden (Hours)	275	343	0	0	-68	0
Annual Cost Burden (Dollars)	102	0	0	0	102	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: TSA has adjusted the scope of the collection after further review, which in turn effected the hour and cost burden estimates. However, the estimated number of respondents increased from 127 to 263. There was a reduction of estimated burden hours from 324 to 275, a reduction in opportunity cost burden from $22,537 to $8,880, and an increase in estimated Federal Government costs from $7,890 to $10,634.

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Annual Cost to Federal Government: $10,634

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 07/13/2017

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