Information Collection

eForm 6 Access Request

IC 12877 under ICR 200701-1140-001 · OMB 1140-0087.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1140-0087 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form F 5013.3 eForm 6 Access Request	Form and Instruction
F 5013.3 eForm 6 Access Request F50133.pdf	Form and Instruction

IC Title:

eForm 6 Access Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	F 5013.3	eForm 6 Access Request	F50133.pdf		Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.