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Contractor Personnel Access Application
Contractor Personnel Access Application
OMB: 1620-0002
IC ID: 20436
OMB.report
DHS/USSS
OMB 1620-0002
ICR 200911-1620-001
IC 20436
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1620-0002 can be found here:
2016-08-31 - Revision of a currently approved collection
2013-05-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SSF 3237
Contractor Personnel Access Application
Form and Instruction
SSF 3237 Contractor Personnel Access Application
ssf3237.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Contractor Personnel Access Application
Agency IC Tracking Number:
Is this a Common Form?
No
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
SSF 3237
Contractor Personnel Access Application
ssf3237.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Leadership Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,000
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 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
5,000
0
0
0
0
5,000
Annual IC Time Burden (Hours)
1,250
0
0
0
0
1,250
Annual IC Cost Burden (Dollars)
0
0
0
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.