APPLICATION AND AUTHORIZATION FOR ACCESS TO CONFIDENTIAL INFORMATION

ICR 197711-0704-007

OMB: 0704-0031

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0704-0031 197711-0704-007
Historical Active 197611-0704-014
DOD/DODDEP
APPLICATION AND AUTHORIZATION FOR ACCESS TO CONFIDENTIAL INFORMATION
Extension without change of a currently approved collection   No
Regular
Approved without change 12/05/1977
Retrieve Notice of Action (NOA) 11/28/1977
  Inventory as of this Action Requested Previously Approved
12/31/1982 12/31/1982 12/31/1977
127,800 0 127,800
42,600 0 42,600
0 0 0

FORM USED TO OBTAIN PERSONAL DATA FROM U.S. CITIZEN CONTRACTOR EMPLOYEE BEING CONSIDERED FOR A CONFIDENTIAL SECURITY CLEARANCE BY THE CONTRACTOR.

None
None


No

1
IC Title Form No. Form Name
APPLICATION AND AUTHORIZATION FOR ACCESS TO CONFIDENTIAL INFORMATION DD48-2, DD 48-2

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 127,800 127,800 0 0 0 0
Annual Time Burden (Hours) 42,600 42,600 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/28/1977


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