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The CBP Form 3078 is a critical document used by U.S. Customs and Border Protection (CBP) for individuals seeking an identification card, particularly for licensed cartmen, lightermen, or their employees. This form serves as an application and requires detailed personal information, including the applicant's name, social security number, and employment history. Additionally, it collects data on the applicant's physical characteristics and any criminal history, which are essential for conducting a thorough background investigation. The form also includes sections for military service and any previous applications for CBP identification cards. The information gathered is used to assess eligibility for the card, which is necessary for accessing specific benefits and areas regulated by CBP. The estimated time to complete the form is approximately 17 minutes, and it is important to note that providing this information is voluntary, although failure to do so may impede the application process. As part of the privacy measures, the information collected may be shared with other government agencies as needed to verify eligibility and ensure compliance with regulations.

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DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

APPLICATION FOR IDENTIFICATION CARD

OMB APPROVAL NO. 1651-0008 EXPIRATION DATE 11/30/2019

ESTIMATED BURDEN 17 MIN

19 U.S.C. 66, 1551, 1555, 1565, 1624, 1641;

19 CFR 112.42, 118, 122.182, 146.6

1. TYPE OF ACTIVITY REQUIRING IDENTIFICATION CARD

 

 

 

2. DATE OF THIS APPLICATION

Cartman/

Broker's

CBP

Warehouse Officer

Container Station

Foreign

CES

 

Lighterman

Employee

Security Area

or Employee

Employee

Trade Zone

Employee

 

 

 

Identification

 

 

Employee

 

 

3.NAME (Last, First, & Middle)

4. SOCIAL SECURITY NUMBER

5. LIST ANY OTHER NAMES YOU HAVE EVER BEEN KNOWN BY (Nicknames, aliases, etc.)

6. DATE OF BIRTH

7.HOME ADDRESS (Number, Street, City, State, and ZIP Code)

8. NAME AND ADDRESS OF PRESENT EMPLOYER

9. HOME PHONE NUMBER

10. BUSINESS PHONE NUMBER

11.PLACE OF BIRTH (City, County, State, and Country)

12. HEIGHT

13. WEIGHT

14. COLOR HAIR 15. COLOR EYES

16. VISIBLE SCARS OR MARKS

17. U.S. COAST GUARD PORT SECURITY CARD NUMBER

18. U.S. MERCHANT MARINE CARD NUMBER

 

 

19. HAVE YOU EVER APPLIED FOR CARD IN ITEM 17 OR ITEM

20. HAS APPLICATION FOR EITHER CARD IN ITEM 17 OR 18 BEEN

18?

 

DENIED?

 

 

 

 

YES

NO (Skip Items 20 and 21)

YES (If Yes, explain in Item 21)

NO (Skip Item 21)

 

 

 

 

21.EXPLANATION OF APPLICATION DENIAL

22.LIST ALL RESIDENCES DURING THE LAST 5 YEARS (List in reverse order, beginning with the present address)

 

DATES

Number and Street

City

State

From

 

To

 

 

 

 

 

 

PRESENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23. HAVE YOU EVER SERVED IN THE ARMED SERVICES OF THE U.S.?

24. BRANCH OF SERVICE

YES

NO (Skip Items 24-28)

 

 

 

 

 

 

25. DATES OF SERVICE

 

26. SERIAL NUMBER

27. TYPE OF DISCHARGE

 

 

 

 

28. IF DISCHARGE WAS OTHER THAN HONORABLE, EXPLAIN IN FULL DETAIL

29.HAVE YOU EVER APPLIED FOR AN IDENTIFICATION CARD WITH U.S. CUSTOMS AND BORDER PROTECTION?

YES (If Yes, explain details)

NO

CBP Form 3078 (3/19)

Page 1 of 2

30. PREVIOUS EMPLOYMENT -- LIST IN CHRONOLOGICAL ORDER, GIVING EARLIEST EMPLOYMENT FIRST (Last 10 Years)

DATES

From

To

 

 

EMPLOYER NAME AND ADDRESS

OCCUPATION

31. HAVE YOU EVER BEEN CONVICTED OF ANY CRIME OR OFFENSE (Other than traffic violations, you

YES (If YES, explain NO

may exclude any items which occurred before your 16th birthday) IN THIS COUNTRY OR ELSEWHERE?

in Item 32.)

 

 

32. EXPLANATION OF ALL CONVICTIONS (Federal, State, Military, or Foreign)

Date

Place

Charge

Court

Final Disposition

33. DO YOU NOW USE OR HAVE YOU EVER USED NARCOTIC DRUGS?

YES (If YES, explain below.)

NO 34. ATTACH PHOTOGRAPH HERE

35.

I certify that all of the statements made in this Application are

SIGNATURE (Sign in ink)

DATE

true, complete, and correct to the best of my knowledge and

 

 

CERTIFICATION

X

 

belief, and are made in good faith.

 

 

 

Paperwork Reduction Act Notice: The Paperwork Reduction Act says we must tell you why we are collecting this information, how we will use it, and whether you have to give it to us. We ask for this information to carry out U.S. Customs and Border Protection laws of the United States. This form is used by licensed cartmen or lightermen or their employees as an application to apply for a CBP identification card and is required to obtain or retain a benefit. The estimated average burden associated with this collection of information is 17 minutes per respondent or recordkeeper depending on individual circumstances. The valid OMB Control Number for this Information Collection is 1651-0008.

Pursuant to 5 U.S.C. § 552a(e)(3), this Privacy Act Statement serves to inform you of why DHS is requesting the information on this form. CBP is authorized to collect the information requested on this form pursuant to 5 U.S.C. 301, Reorganization Plan No. 1 of 1950; 19 U.S.C. 1551, 1565, 1624, 1641; and 19 CFR 112.42. CBP is requesting this information to enable CBP to conduct a background investigation and thereby determine whether the applicant meets the criteria required for the issuance of an identification card. CBP may provide information collected and contained in the applicant’s file to those employees of CBP who have a need for the records in the performance of their duties. CBP may also use this information, when deemed appropriate, in a proceeding to revoke or suspend the identification card. The information requested on this form may be shared externally as a “routine use” to other government agencies to assist the Department of Homeland Security in investigating and assessing an applicant’s eligibility for an identification card. A complete list of the routine uses can be found in the system of records notice associated with this form, “Department of Homeland Security/ALL-026 DHS Personal Identity Verification Management System.” The Department’s full list of system of records notices can be found on the Department's website at http://www.dhs.gov/system-records-notices-sorns. Providing this information to CBP is voluntary. However, failure to provide this information may result in CBP’s inability to conduct the background investigation required to issue the identification card.

CBP Form 3078 (3/19)

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Form Specifications

Fact Name Fact Details
Form Purpose The CBP 3078 form is used to apply for a U.S. Customs and Border Protection identification card.
OMB Approval This form has OMB Approval No. 1651-0008.
Expiration Date The form's expiration date was 11/30/2019.
Estimated Burden It takes approximately 17 minutes to complete this form.
Governing Laws The form is governed by 19 U.S.C. sections 66, 1551, 1555, 1565, 1624, 1641; and 19 CFR sections 112.42, 118, 122.182, 146.6.
Information Collection Information collected is used to conduct background investigations for eligibility.
Privacy Act Statement The form includes a Privacy Act Statement, informing applicants about data use and sharing.
Voluntary Disclosure Providing information is voluntary, but failure to do so may hinder the application process.
Photograph Requirement Applicants must attach a photograph to the form.

Cbp 3078: Usage Guidelines

Filling out the CBP 3078 form is an important step in applying for an identification card with U.S. Customs and Border Protection. This form collects various personal details and employment history to assist in the background investigation process. Carefully following the instructions ensures that your application is complete and accurate, which can help expedite the review process.

  1. Type of Activity: In the first section, select the type of activity that requires the identification card. Options include Cartman/Broker's, CBP Warehouse Officer, and others.
  2. Date of Application: Enter the date you are filling out the application.
  3. Name: Fill in your last name, first name, and middle name.
  4. Social Security Number: Provide your Social Security Number.
  5. Other Names: List any other names you have been known by, such as nicknames or aliases.
  6. Date of Birth: Enter your date of birth.
  7. Home Address: Write your complete home address, including number, street, city, state, and ZIP code.
  8. Employer Information: Fill in the name and address of your current employer.
  9. Contact Numbers: Provide your home and business phone numbers.
  10. Place of Birth: Indicate the city, county, state, and country where you were born.
  11. Physical Characteristics: Enter your height, weight, hair color, eye color, and any visible scars or marks.
  12. Coast Guard and Merchant Marine Card Numbers: If applicable, provide your U.S. Coast Guard Port Security Card number and U.S. Merchant Marine Card number.
  13. Previous Applications: Indicate if you have ever applied for the cards mentioned above. If yes, explain any denials.
  14. Residences: List all your residences for the last five years in reverse chronological order, starting with your current address.
  15. Military Service: Answer whether you have served in the U.S. Armed Services and provide details if applicable.
  16. Previous Employment: List your previous employment over the last ten years, providing details in chronological order.
  17. Criminal History: Disclose any convictions, excluding traffic violations, and explain if necessary.
  18. Narcotic Drug Use: Indicate whether you currently use or have ever used narcotic drugs.
  19. Photograph: Attach a recent photograph in the designated area on the form.
  20. Certification: Sign and date the application, certifying that all information provided is true and complete.

Your Questions, Answered

What is the CBP Form 3078?

The CBP Form 3078 is an application for an identification card issued by U.S. Customs and Border Protection (CBP). This card is essential for individuals who work in specific roles, such as licensed cartmen, lightermen, or their employees, to gain access to secure areas and perform their duties effectively.

Who needs to fill out the CBP Form 3078?

Individuals who require a CBP identification card must complete this form. This includes employees working in customs-related roles, such as those in warehouses, container stations, or security areas. If you are in one of these positions, you will need to submit this application.

What information do I need to provide on the form?

The form requires personal details such as your name, social security number, date of birth, and home address. Additionally, you will need to provide employment information, physical characteristics, and any previous criminal convictions. Be prepared to share your employment history and any residences from the past five years.

How long does it take to complete the form?

On average, it takes about 17 minutes to complete the CBP Form 3078. This time may vary based on individual circumstances, such as the amount of information you need to gather.

What happens if I have a criminal conviction?

If you have been convicted of a crime (excluding traffic violations), you must disclose this on the form. You will need to provide details about the conviction, including the date, place, charge, and final disposition. Transparency is crucial, as it can impact your application.

Can I apply if I have previously been denied?

Yes, you can still apply if you have been denied in the past. However, you will need to explain the circumstances surrounding the denial on the form. This information helps CBP assess your current eligibility.

Is there a fee to submit the CBP Form 3078?

There is no fee associated with submitting the CBP Form 3078. However, it is important to ensure that all information is accurate and complete to avoid delays in processing your application.

How will my information be used?

Your information will be used to conduct a background investigation to determine your eligibility for the identification card. CBP may share your information with other government agencies if necessary for this purpose.

What should I do if I have questions about the form?

If you have questions or need assistance while filling out the CBP Form 3078, you can contact CBP directly or visit their website for more information. They provide resources to help applicants understand the process and requirements.

What if I do not provide the requested information?

Providing the requested information is voluntary. However, if you choose not to provide it, CBP may be unable to conduct the necessary background investigation, which could result in the denial of your application for the identification card.

Common mistakes

  1. Incomplete Personal Information: Many individuals neglect to fill out all required fields, such as the social security number or home address. Omitting this information can lead to delays in processing the application.

  2. Incorrect Name Order: Applicants sometimes reverse the order of their names. It is essential to list the name as Last, First, & Middle to ensure consistency with official documents.

  3. Failure to Disclose Previous Names: Some individuals forget to include aliases or nicknames. This oversight can raise questions during the background check process.

  4. Missing Employment History: Applicants often do not provide complete details about their previous employment. It is important to list all relevant jobs in chronological order, as this information is crucial for background investigations.

  5. Neglecting to Attach a Photograph: Some people fail to include the required photograph. This step is vital for identification purposes and must not be overlooked.

Documents used along the form

The CBP Form 3078 is an essential document for individuals seeking an identification card from U.S. Customs and Border Protection. However, several other forms and documents often accompany this application to ensure a comprehensive review of the applicant's qualifications and background. Below is a list of commonly used forms and documents that may be required alongside the CBP Form 3078.

  • CBP Form 3078A: This form is an additional application for individuals who have previously held a CBP identification card. It requests updated personal information and the reason for reapplication.
  • Background Check Authorization: This document grants permission for CBP to conduct a thorough background check on the applicant, including criminal history and employment verification.
  • Proof of Employment: Applicants must provide documentation confirming their current employment status, such as a letter from their employer or recent pay stubs.
  • Identity Verification Documents: A copy of government-issued identification, such as a driver's license or passport, is typically required to verify the applicant's identity.
  • Photograph: A recent passport-sized photograph is often required to be attached to the application, ensuring that the identification card accurately represents the applicant.
  • Medical Clearance Form: In some cases, applicants may need to submit a medical clearance form, confirming that they do not have any health issues that could affect their ability to perform their job duties.

These accompanying documents play a vital role in the application process, as they provide necessary context and verification for the information submitted on the CBP Form 3078. Ensuring that all required forms are completed accurately and submitted in a timely manner can significantly enhance the likelihood of a successful application.

Similar forms

The CBP Form 3078 is an important document used by U.S. Customs and Border Protection for the application of identification cards. It shares similarities with several other forms that serve various identification and application purposes. Here are eight documents that are comparable to the CBP Form 3078:

  • Form I-9 (Employment Eligibility Verification): Like the CBP Form 3078, the Form I-9 is used to verify an individual's identity and eligibility to work in the United States. Both forms require personal information and may involve background checks.
  • Form W-4 (Employee's Withholding Certificate): This form is used by employees to indicate their tax withholding preferences. Similar to the CBP Form 3078, it collects personal information and helps establish the individual's identity for employment purposes.
  • Passport Application (Form DS-11): When applying for a passport, individuals must provide personal details and proof of identity. This mirrors the information required in the CBP Form 3078, which also aims to establish identity for specific purposes.
  • State Driver's License Application: This application requires individuals to submit personal information and proof of identity, akin to the CBP Form 3078. Both documents are vital for verifying identity in various contexts.
  • Form N-400 (Application for Naturalization): Individuals seeking U.S. citizenship must complete this form, which requires extensive personal information. Like the CBP Form 3078, it is part of a process that involves identity verification and background checks.
  • Form 1040 (U.S. Individual Income Tax Return): While primarily a tax form, the 1040 requires personal identification details similar to those found in the CBP Form 3078. Both forms are essential for compliance with U.S. regulations.
  • Social Security Card Application (Form SS-5): This form is used to apply for a Social Security number and requires personal information to establish identity, just as the CBP Form 3078 does for identification cards.
  • Form SF-86 (Questionnaire for National Security Positions): Used for background checks for security clearance, the SF-86 collects detailed personal information similar to the CBP Form 3078, focusing on identity verification and eligibility.

Dos and Don'ts

When filling out the CBP Form 3078, it's crucial to pay attention to detail to ensure a smooth application process. Here are ten important do's and don'ts to keep in mind:

  • Do read the instructions carefully before starting the form.
  • Do provide accurate and complete information in all sections.
  • Do double-check your social security number and date of birth for accuracy.
  • Do include any other names you have been known by, as this may be important for background checks.
  • Do sign and date the application to validate your submission.
  • Don't leave any required fields blank; incomplete applications may be rejected.
  • Don't provide false information or omit significant details; this can lead to denial of your application.
  • Don't forget to attach a recent photograph as specified in the instructions.
  • Don't rush through the form; take your time to ensure accuracy.
  • Don't ignore the privacy notice; understand how your information will be used.

Following these guidelines can significantly improve your chances of a successful application. Make sure to take the process seriously and provide all necessary information accurately.

Misconceptions

Misconceptions about the CBP Form 3078 can lead to confusion regarding its purpose and requirements. Below is a list of eight common misconceptions, along with clarifications.

  • The CBP Form 3078 is only for U.S. citizens. This form is applicable to various individuals, including foreign nationals working in specific roles, not just U.S. citizens.
  • Submitting the form guarantees an identification card. Completion of the form does not automatically ensure that an identification card will be issued. A background investigation is conducted to determine eligibility.
  • Only certain job titles can apply for the card. While specific job roles, such as licensed cartmen or lightermen, are mentioned, employees in related positions may also be eligible.
  • The form does not require a photograph. A photograph is a necessary component of the application and must be attached as specified.
  • Previous criminal convictions disqualify all applicants. Not all convictions will automatically disqualify an applicant. The nature and circumstances of the conviction are considered.
  • Information provided is not confidential. The information submitted is subject to privacy protections, and CBP is obligated to handle it in accordance with privacy laws.
  • There is no time limit for submitting the form. Applicants should be aware that timely submission is important, especially if they are applying for a position that requires the card.
  • Once issued, the card does not expire. The identification card has an expiration date and must be renewed periodically to remain valid.

Key takeaways

When filling out and using the CBP 3078 form, there are several important points to keep in mind:

  • Purpose of the Form: The CBP 3078 form is an application for an identification card required by U.S. Customs and Border Protection (CBP) for individuals involved in certain activities, such as licensed cartmen or lightermen.
  • Personal Information: Applicants must provide detailed personal information, including their name, social security number, date of birth, and home address. Accuracy is crucial to avoid delays.
  • Employment History: The form requires a list of previous employers over the last ten years. This section helps CBP assess the applicant's background.
  • Criminal History: Applicants must disclose any criminal convictions, excluding minor traffic violations. This information is essential for the background check process.
  • Photograph Requirement: A recent photograph must be attached to the application. This is used for identification purposes.
  • Certification: By signing the form, applicants certify that all information provided is true and complete. Falsifying information can lead to denial of the application.