OMB
.report
Search
Supplemental Investigative Data
Supplemental Investigative Data
OMB: 1620-0001
IC ID: 20434
OMB.report
DHS/USSS
OMB 1620-0001
ICR 200909-1620-001
IC 20434
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1620-0001 can be found here:
2011-01-13 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SSF 86A
Supplemental Investigative Data
Form and Instruction
SSF 86A Supplemental Investigative Data
ssf86a.pdf
www.secretservice.gov/forms/ssf86a.pdf
Form and Instruction
83c-fill.pdf
Statement of Change to Form SSF 86A
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Supplemental Investigative Data
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
31 CFR Section 2.1 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
SSF 86A
Supplemental Investigative Data
ssf86a.pdf
www.secretservice.gov/forms/ssf86a.pdf
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Key Asset and Critical Infrastructure Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
85 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
10,000
0
0
0
0
10,000
Annual IC Time Burden (Hours)
30,000
0
0
0
0
30,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Statement of Change to Form SSF 86A
83c-fill.pdf
09/07/2006
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.