FACILITY CLEARANCE REGISTER

ICR 198904-0704-010

OMB: 0704-0263

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
165302
Migrated
ICR Details
0704-0263 198904-0704-010
Historical Active 198606-0704-001
DOD/DODDEP
FACILITY CLEARANCE REGISTER
No material or nonsubstantive change to a currently approved collection   No
Emergency 04/06/1989
Approved with change 04/06/1989
Retrieve Notice of Action (NOA) 04/06/1989
  Inventory as of this Action Requested Previously Approved
08/31/1989 08/31/1989 08/31/1989
500 0 500
42 0 42
0 0 0

THIS FORM CERTIFIES THE SECURITY CLEARANCE LEVEL AND SAFEGUARDING ABILITY OF THE FACILITY OF A U.S. GOVERNMENT CONTRACTOR WHO WISHES TO ACCESS CLASSIFI MATERIAL FROM THE DEFENSE TECHNICAL INFORMATION CENTER (DTIC). AFFECT PUBLIC - U.S. GOVERNMENT CONTRACTORS TECHNICAL INFORMATION CENTER (DTIC). AFFECTED PUBLIC - U.S. GOVERNMENT CONTRACTORS.

None
None


No

1
IC Title Form No. Form Name
FACILITY CLEARANCE REGISTER

  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 500 500 0 0 0 0
Annual Time Burden (Hours) 42 42 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.
04/06/1989


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