TSA Form3413-1 ASO Certification

OMB Control Number: 1652-0035
Expiration: 8/31/2025

Clear Form

DEPARTMENT OF HOMELAND SECURITY

Transportation Security Administration
ARMED SECURITY OFFICER 18 U.S.C. 922(g) CERTIFICATION
INSTRUCTIONS: In order to participate in the Transportation Security Administration (TSA) Law Enforcement/Federal Air Marshal Service
(LE/ FAMS) Armed Security Officer (ASO) Program candidates shall read Section I and certify in Section II. Current ASOs shall certify
annually and completed forms must be stored in accordance with TSA File Code 3400.21.
Section I. Purpose
Any person who is an unlawful user of or addicted to any controlled substance (as defined in section 102 of the Controlled Substances Act (21
U.S.C. 802)); who has been adjudicated as a mental defective or who has been committed to a mental institution; or who, having been a citizen
of the United States, has renounced his citizenship; cannot lawfully possess, ship, transport, or receive firearms and/or ammunition under the
provisions cited in 18 U.S.C. § 922(g)(3), (4) and (7). Individuals whose position or application for position requires them to possess, ship,
transport or receive firearms and/or ammunition are required to certify whether they are an unlawful user or addicted to any controlled
substance, adjudicated as a mental defective or been committed to a mental institution, or renounced their U.S. citizenship. Knowingly providing
false or fraudulent information on this form may be punishable by a fine or imprisonment, or both, under 18 U.S.C. § 1001.
SECTION II. Certification
Part A. ASO Candidate
I ______________________________certify I am not an unlawful user of or addicted to any controlled substance (as defined in section 102 of
the Controlled Substances Act).
I ______________________________certify I have not been adjudicated as a mental defective or have been committed to a mental institution.
I ______________________________certify having been a citizen of the United States, I have not renounced my U.S. citizenship.
I certify that to the best of my knowledge and belief, all of the information provided by me is true, correct, complete and made in good faith. I
understand providing false or fraudulent information on this form may be punishable by a fine or imprisonment, or both, under 18 U.S.C. § 1001,
and removal from the application process.
ASO Signature:

Date of ASO Signature:

Part B. ASO Annual Certification
I ______________________________certify I am not an unlawful user of or addicted to any controlled substance (as defined in section 102 of
the Controlled Substances Act).
I ______________________________certify I have not been adjudicated as a mental defective or have been committed to a mental institution.
I ______________________________certify having been a citizen of the United States, I have not renounced my U.S. citizenship.
I certify to the best of my knowledge and belief, all of the information provided by me is true, correct, complete and made in good faith. I
understand providing false or fraudulent information on this form may be punishable by a fine or imprisonment, or both, under 18 U.S.C. § 1001,
and removal from the ASO program.
ASO Signature:

Date of ASO Signature:

PRIVACY ACT STATEMENT: AUTHORITY: 49 U.S.C. § 114; Pub. L.108-176. PRINCIPAL PURPOSES(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 STATEMENT ACT: This is a mandatory collection to participate in the ASO Program. The total average burden per response associated with this
collection is estimated to be approximately 5 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 OMB 1652- 0035, which will expire on August 31,
2025. Send comments regarding this burden estimate or collection to: TSA-11, Attention: PRA 1652-0035, 6595 Springfield Center Drive, Springfield,
VA 20598-6011.

Previous editions of this form are obsolete.

TSA Form 3413-1 (8/22) rev. [File: 3400.21]

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