Aircraft & Fixed Based Operators

DEPARTMENT OF HOMELAND SECURITY

OMB
1652-0035
8/31/2025

Transportation Security Administration
Fixed Based Operator Standard Security Program (FBOSSP)
Fixed Based Operator Application Form

Full company Name: __________________________________________________________________________________________
Airport Identifier: ___________________________
Address: ____________________________________________________________________________________________________
City: _______________________________________

State: ________________

Zip Code:__________________

Corporate Headquarters Location: ____________________________________________________________________________
Corporate Headquarters Mailing Address:

_____________________________________________________________________

City: _______________________________________

Security Coordinator:
Name:
Primary

First

State: ________________

Middle

Last

Zip Code: _________________

Phone

Email

Alternate

Applicant’s Name: ________________________________________________________________________________________

Applicant Telephone Number (s): _______________________

Email Address: _____________________________________

Applicant’s Signature & Title: ____________________________________________________________________________________
** Completed applications can be emailed to: DASSP@tsa.dhs.gov or faxed to (703)603-4030. **

PRIVACY ACT STATEMENT
AUTHORITY: 49 U.S.C. § 114; Pub. L. 108-176. PRINCIPAL PURPOSE(S): To identify individuals eligible to serve as armed security
officers aboard general aviation flights into DCA. ROUTINE USE(S): This information you provide may be shared with aircraft and
airport operators, and the FAA, or for routine uses identified in TSA system of records, DHS/TSA 002, Transportation Security Threat
Assessment System. DISCLOSURE: Voluntary; failure to furnish the requested information may result in delays in processing or denial
of your nomination.
PAPERWORK REDUCTION ACT BURDEN STATEMENT
This is a mandatory collection of information if you wish to fly into or from Ronald Reagan National Airport (DCA) in Washington, DC or
act as a gateway fixed base operator for aircraft inbound to DCA. The total average burden per response associated with this collection
is estimated to be approximately 45 minutes. An agency may not conduct or sponsor, and a person is not required to respond to a
collection of information unless it displays a valid 0MB control number. The control number assigned to this collection is 0MB 1652
— 0035, which will expire on 8/31/2025.
www.tsa.gov

Page 1 of 1