Personal Identity Verification (PIV) Request

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0057 can be found here:

Documents and Forms

Document Name Document Type
Form NA 6006 Personal Identity Verification (PIV) Request Form and Instruction
NA 6006 Personal Identity Verification (PIV) Request NA600611-06final.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Personal Identity Verification (PIV) Request	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA 6006	Personal Identity Verification (PIV) Request	NA600611-06final.doc		Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,500	900	600
Annual IC Time Burden (Hours)	75	45	30
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.