Form Cg 7421A PDF Details

In today’s digital age, managing and authorizing access to critical systems within the Department of Homeland Security, specifically for the U.S. Coast Guard, is vital for maintaining both security and efficiency. The CG-7421A form represents a key component in this process, granting or updating user access to the TPAX/WINIATS systems. This authorization form, updated to supersede previous applications, mandates thorough documentation from the applicant, including personal identification, duty station details, and a description of the user role among other specifics. Significantly, it delineates a broad range of permissions related to travel preparation and examination systems, which are critical for Coast Guard personnel and associated non-CG employees under specific conditions. Contractors, for example, face restrictions, such as the inability to complete travel claims. Furthermore, the form highlights a structured framework for approval by requiring an Authorizing Official (AO) Designation, thereby ensuring that access is rigorously vetted and assigned based on official necessity. The responsibilities and liabilities associated with the various roles authorized by the form are explicitly stated, underscoring the gravity of access privileges and the accountability expected from users. This thorough authorization process is not only about facilitating operational tasks but also about safeguarding sensitive information and systems integral to the Coast Guard’s mission.

QuestionAnswer
Form NameForm Cg 7421A
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namescg tpax, cg 7421a form, tpax coast guard, tpax login

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DEPARTMENT OF HOMELAND SECURITY

U.S. Coast Guard

TPAX/WINIATS USER ACCESS AUTHORIZATION & APPROVING OFFICIAL (AO) DESIGNATION

Please fill out online or print neatly! This authorization supersedes previous applications.

1. User’s Name (Last, First, MI.) (Please print)

2. Rank/Rate

3. Employee ID (SSN for non-employees)

 

 

 

4. Official Duty Station & OPFAC

5. Area Code and Work Phone Number

6. e-Mail Address

7. User Role Description (see instructions) (Include current roles, this

 

Create “Non-CG Employee” Self Service User Profile

authorization supersedes all of your previous authorizations) (All User Roles

Note: Contractors are not allowed to complete travel claims nor do

below will automatically expire one year from date of command signature):

they have access to TPAX.

 

TPAX (Travel Preparation and Examination System Permissions)

** Non-CG Employees Must fill out blocks 1-6, 8-12 and

AO (Authorizing Official) Permissions for TPAX and Manual Claims (PCS and

 

provide valid SSN in 3.

 

**

Note: If a member is an employee of another federal agency

TDY) NOTE: ALL Travel Claim AOs MUST have this form filed with PPC

 

and is on official ‘orders’ to the CG, a copy of the assign-

(regardless of the type of claim they are approving) or claims will not be

 

processed and will be returned for AO signature.

 

ment orders with duration dates is required with this form.

Date of Expiration:

 

 

 

 

 

Blocks 8 to 12 required only for Non-CG Employee requests

Travel Advance Signature Proxy (ASP) Permissions (SPOs Only)

 

 

 

 

 

Date of Expiration:

8. Home Address: Street Address, Apt #

Travel Manager and AO Permissions

 

 

 

 

Date of Expiration:

 

 

 

 

Unit Command Representative (for unit reports)

9. Home Address: City, State, Zip Code

Date of Expiration:

 

 

 

 

Customer Service Representative 2 Permissions (Field use upon approval of

 

 

 

 

PPC Travel for a specific purpose and duration)

 

 

10.

Check all that apply as well as status within branch

Date of Expiration:

 

CGES

USMC

Civilian DOD Employee

Specific Purpose:

 

 

USCG AUX

USAF

Chaplain

Customer Service Representative Permissions (PPC Only)

 

 

USPHS

USN

Active Duty

Date of Expiration:

 

System Administrator (PPC TVL Only)

 

USA

 

Reserve Duty

Date of Expiration:

 

Other:

 

(specify)

WINIATS Access Permissions (PPC TVL Only)

11. USCG Work Address: Street Address

Examiner Permissions

 

 

 

 

Auditor Permissions

 

 

 

 

12. USCG Work Address: City, State, Zip Code

Super User Permissions (system support users only)

 

 

 

 

Distribution Permissions

 

 

 

 

System Administrative Restricted Permissions

 

 

 

 

System Admin Permissions (full)

 

 

 

 

13.CMD Designation Signature and printed name, Rank, Title (CO/OIC, XO/XPO or HQ/PSC/PPC/FORCECOM/DCMS/DIST/ or Sector Branch Chief who is in the requested user’s supervisory chain of command):

I certify that the access I have authorized is based on an official need. I'm aware of the general functionality I have authorized and I'm aware of what this will allow this member to complete. This member has demonstrated that they are knowledgeable in the use of the program I've authorized and has my confidence that they will diligently make entries and if in doubt they will seek assistance. I also acknowledge that if I lose confidence in this member for any reason I have a responsibility to withdraw this authorization.

____________________________________________________________________________________________________________

Signature AND PRINTED or TYPED Name, EMPLID, Rank, Title,Phone,OPFAC NOTE: Failure of a printed or typed name may result in this document not being processed.

For User Reference

Date

Your TPAX Profile should be updated within 05 business days from the date this form is received at PPC Travel.

TPAX Profiles must be set up with user's password and general information required prior to submitting request for permissions other than self service. Designation requests without basic profile information already entered by traveler will not be updated by PPC.

USER Acknowledgment: I understand that I am authorized to access the TPAX/WINIATS system and that accessing it for purposes beyond the Scope

of Authorization is a violation of Federal law (18 U.S.C. 1030 et al) (Note: Refer to the Automated Information Systems (AIS) User Acknowledgement Form (CG-5500A), which is required for all U.S. Coast Guard AIS users, it contains the full Scope of Authorization and Acknowledgement.). By signing

the User Signature below, I certify that I have read and understand the Statements of Responsibility and Liability, located on page 2-3 of this document, for each of the permissions assigned above.

Privacy Act Statement

AUTHORITY:Executive Order 10450, 9397; and Public Law 99-474, the Computer Fraud and Abuse Act.

PRINCIPAL PURPOSE: To record names, signatures, and other identifiers for the purpose of identifying individuals requesting access to U. S. Coast

 

Guard (USCG) systems and information. NOTE: Records may be maintained in both electronic and/or paper form.

ROUTINE USES:

None.

DISCLOSURE:

Disclosure of this information (including your SSN if not a member/employee of the USCG) is voluntary; however, failure to

 

provide the requested information may impede, delay or prevent further processing of this request.

14. User's Signature

 

Date

 

 

 

(For PPC Use Only) TPAX/WINIATS Access Systems Administrator and CS

Fax to: (785) 339-2296 or through PPC Customer Care Service Ticket:

http://cgweb.ppc.uscg.mil/ccb/

Operator ID (if not = to Emplid)

CG-7421A (03/13)

OPRCLASS

TPAX/WINIATS System Administrator Signature

Previous Editions Obsolete

Date

Page 1 of 3

CG-7421A (Rev. 01-13) Instructions

∙Fax the completed form to PPC at the number on the form ((785) 339-2296) or submit a PPC Customer Care Service Ticket (http://cgweb.ppc.uscg.mil/ccb/)

∙Retain the original form in the unit’s files until the member departs the unit.

∙All permissions above self service will be terminated after one year from the date of the command signature, if there is a permanent transfer, if there is an inter-unit transfer, when the member separates from the CG, when the member changes status (i.e. from active to reserve components) or when deemed necessary by competent authority.

∙TPAX/WINIATS termination should be part of your unit checkout process.

Revocation:

With the exception of non-employees, TPAX/WINIATS roles are automatically terminated upon PCS, separation, retirement, reassignment of duties (Fleet-Ups) and change of organization (inter-office transfer). AO, Advance Signature Proxy and Customer Service Representative Permissions automatically expire one year from the date of the command signature. Submit a new application, annually, to retain these permissions.

Users who have been reassigned (PCS, Change of Department IDs) will retain Self-Service access.

The user role termination process is kicked off by submission of a PCS departing endorsement. If the member submits a new access form, and it is processed by PPC before the SPO submits the PCS departing endorsement, the system will terminate the new access. Please be sure to submit transactions in a timely manner.

If Revocation is for a non-employee or is due to reasons other than those listed above contact PPC Customer Care via on-line trouble-ticket at http://www.uscg.mil/ppc/ccb or http://cgweb.ppc.uscg.mil/ccb or via e-Mail at PPC-DG-CustomerCare@uscg.mil.

All TPAX/WINIATS System Permissions:

Read and be familiar with:

∙Authorizing Official On-line Training Course

(http://www.uscg.mil/ppc/travel/aocert/1-Overview/)

∙TPAX User Guide at PPC Website

(http://www.uscg.mil/ppc/webtpax/index.htm)

∙(JFTR) Joint Federal Tracking Regulations

(http://www.defensetravel.dod.mil/site/travelreg.cfm)

∙CG Supplement to JFTR

(http://www.uscg.mil/directives/cim/4000- 4999/CIM_4600_17A.pdf)

∙Chapter 2, 3PM

(http:/www.uscg.mil/ppc/3pm.asp)

∙Federal Travel Regulations (FTR)

(http://www.gsa.gov/federaltravelregulation)

∙DHS Travel Policies for Civilian Personnel (CGWEB/Intranet only) (http://dhsconnect.dhs.gov/org/comp/cfo/travel/pages/default. aspx)

∙The Coast Guard Freedom of Information (FOIA) and Privacy Acts Manual (http://www.uscg.mil/directives/cim/5000- 5999/CIM_5260_3.pdf)

USER ROLE STATEMENTS OF

RESPONSIBILITY AND LIABILITY

Authorizing Official (AO) Statement of Responsibility and Liability:

AO Statement of Responsibility and Liability: AOs have the authority to review and approve manual and/or electronic travel payment transactions and therefore, shall become knowledgeable in the matters of document(s) being approved. AOs have broad authority to determine when travel is necessary to accomplish the unit’s mission, authorize travel, obligate unit travel funds, approve trip arrangements and authorize travel expenses incurred in connection with the travel. AOs shall ensure documents are carefully reviewed before approval and not signed only as a matter of formality. The AO shall not compromise system integrity by revealing their personal TPAX passwords. The AO is fully accountable to the Coast Guard and may be found liable for erroneous or improper payments. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

CG-7421A (03/13)

TPAX Advance Signature Proxy Statement of Responsibility and Liability (SPO Designation):

TPAX AdvSigProxy Statement of Responsibility and Liability: AdvSigProxy have the authority to prepare Travel Advances on the member’s behalf in TPAX, electronically sign for the member and forward to the appropriate AO and therefore, shall become knowledgeable in the matters of document(s) being created. TPAX AdvSigProxies have broad authority to processes advances in connection with the travel on behalf of any member within their area of responsibility (typically any unit that falls under the SPO). TPAX AdvSigProxy shall ensure documents are carefully reviewed before forwarding to the AO. The TPAX AdvSigProxy shall not compromise system integrity by revealing their personal passwords or personal information contained within the TPAX system. The TPAX AdvSigProxy is fully accountable to the Coast Guard and may be found liable for erroneous or improper payments and may be held accountable for failure to follow the Privacy Act. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

Travel Manager Statement of Responsibility and Liability:

Travel Managers (TMs) are automatically listed as AOs and have the same Responsibilities and Liabilities as described in the AO statement. In addition, TMs oversee and manage the Government Travel Charge Card (GTCC) accounts of a specific hierarchy. Travel Managers perform administrative travel management activities and some duties performed by TPAX AO as determined by the local command. Travel Managers are responsible for those duties and responsibilities detailed in CIM 4600.18 (series), chapter 1. Additional programmatic guidance for Travel Managers is available at: http://www.uscg.mil/psc/bops/govtrvl/default.asp. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

TPAX Unit Command Representative (UCR):

UCR Statement of Responsibility and Liability: UCRs perform administrative activities and has the ability to run unit ADHOC queries based on a specific set of criteria as determined by the local command. These queries may contain privacy act or personal identification information data that is to be used for official purposes only. These queries are to be used to perform official duties on user’s own AOR. UCR users are cautioned about queries run without the local command’s approval. UCR shall not compromise system integrity by revealing their personal passwords or personal information contained within the TPAX system. The UCR is fully accountable to the CG and may be held accountable for failure to follow the Privacy Act. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

TPAX Customer Service Representative (CSR) (PPC only) and Customer Service Representative 2 (CSR2) (Field use) Statement of Responsibility and Liability:

CSR and CSR2 Statement of Responsibility and Liability: CSR have the authority to review all CG travel accounts in TPAX, to assist members with questions, reset of passwords, and necessary instruction and therefore, shall become knowledgeable in the matters of travel regulations for both military and civilian personnel, privacy act regulations, and the operation of TPAX. CSR shall not compromise system integrity by revealing their personal passwords or personal information contained within the TPAX system. The CSR is fully accountable to the CG and may be held accountable for failure to follow the Privacy Act. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

* continued on following page.

Page 2 of 3

CSR2 have the authority to review all CG travel accounts in TPAX, to assist members with questions, and provide necessary instruction/assistance, use as needed for audit purposes or for official job duties as authorized by PPC TVL. Therefore, CSR2s shall become knowledgeable in the matters of travel regulations for both military and civilian personnel, privacy act regulations, and the operation of TPAX. CSR2 shall not compromise system integrity by revealing their personal passwords or personal information contained within the TPAX system. The TPAX CSR is fully accountable to the CG and may be held accountable for failure to follow the Privacy Act. This permission will only be granted for a specific period of time as determined by PPC Travel and is only intended for the specific purpose listed on page 1 of this form. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

TPAX System Administrator Statement of

Responsibility and Liability:

TPAX SA Statement of Responsibility and Liability: TPAX SA have the broad authority within TPAX. The TPAX SA is required to only use these permissions in an official capacity and is fully accountable to the Coast Guard and may be found liable for erroneous or improper payments and may be held accountable for failure to follow the Privacy Act. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

WINIATS Examiner Statement of Responsibility and Liability:

An Examiner is the individual primarily responsible for the input, review and processing of data in the travel systems, ensuring claim accuracy IAW the JFTR, FTR, 3PM and DHS/CG Travel Policy. Examiners are fully accountable to the Coast Guard and may be found liable for erroneous or improper payments and may be held accountable for failure to follow the Privacy Act. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

WINIATS Auditor Statement of Responsibility and Liability:

An Auditor is the individual responsible for reviewing travel claims that have been processed and are flagged for audit. When a claim has been flagged by IATS for audit, an individual with auditor function capabilities must access the flagged block and either review the flagged claim on- screen, or review a printed audit report. The Auditor must review every input screen for a claim flagged for audit. Auditors are fully accountable to the Coast Guard and may be found liable for erroneous or improper payments and may be held accountable for failure to follow the Privacy Act. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

CG-7421A (03/13)

WINIATS Disbursing Statement of Responsibility and Liability:

Disbursement officers are responsible for preparing a block of processed claims for payment. In addition, this individual must release the processed blocks and carries the same accountability as a PAO. Prior to receiving these permissions, the member must complete two courses located on the LMS: 502360 (PAO) and 810047 (Internal Controls Over Financial Reporting Awareness - ICOFRA) annually. Confirmation of these courses being completed is required and must accompany this form prior to permissions being granted. Disbursement officers are fully accountable to the Coast Guard and may be found liable for erroneous or improper payments and may be held accountable for failure to follow the Privacy Act. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

WINIATS System Administrator (limited/full) Statement of Responsibility and Liability:

The System Administrator is the individual responsible for the overall operation of IATS and controlling the work flow throughout the system. System Administrators are responsible for the set-up and configuration of IATS for the particular travel office. In addition, System Administrators perform the following additional functions: Performing system maintenance; Establishing user accounts; Assigning/re-assigning blocks and claims; Deleting completed blocks; Deleting un-needed traveler or travel order details; Debt management; Importing and updating system rates files; Processing interfaces between accounting, disbursing, and personnel systems; Generating management reports; Running utility programs. System Administrators are fully accountable to the Coast Guard and may be found liable for erroneous or improper payments and may be held accountable for failure to follow the Privacy Act. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

WINIATS SuperUser Statement of Responsibility and Liability:

When user accounts are created by the System Administrator, a View mode must be established. The functions a user may perform are dependent upon the View mode associated with their user ID. The SuperUser View allows the user to switch between various view modes without logging out and logging back in with a different user ID. When the SuperUser logs-in initially, their View mode defaults to System Administrator. SuperUsers are fully accountable to the Coast Guard and may be found liable for erroneous or improper payments and may be held accountable for failure to follow the Privacy Act. By my signature on form CG-7421A, I certify I understand and agree to this Statement of Responsibility and Liability.

Page 3 of 3

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