Critical Facilities Security Review Form

Critical Facility Information of the Top 100 Most Critical Pipelines

Documents and Forms

Document Name Document Type
Form TSA Form 1604 Critical Facilities Security Review Form Form
TSA Form 1604 Pipeline Security Critical Facility Review Pipeline CFSR Workbook FY2022 V1 PRA DRAFT ONLY 022621 (10.12..2021).xlsx Form

Information Collection (IC) Details

IC Title:	Critical Facilities Security Review Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 15 and 1520

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	TSA Form 1604	Pipeline Security Critical Facility Review	Pipeline CFSR Workbook FY2022 V1 PRA DRAFT ONLY 022621 (10.12..2021).xlsx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	80	-10	90
Annual IC Time Burden (Hours)	320	-40	360
Annual IC Cost Burden (Dollars)	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.