Financial Information Security Request Form

Forms and Documents

Document Name	Status
Form FS-6500-214 Financial Information Security Request Form Form	Modified
Supporting_Statement 0956-0204 11 23 2010.doc Supporting Statement A	2010-11-23
DR3140-001[1].pdf Supplementary Document	2010-10-25
DM3140-001.pdf Supplementary Document	1984-07-19
FIPS-200-final-march.pdf Supplementary Document	2006-03-01
Security_Matrix_for_Systems_Access.xls Supplementary Document	2007-02-21

IC Document Collections

IC ID	Document Title	Status
178798	Financial Information Security Request Form Form	Modified

ICR Details

OMB Control No: 0596-0204	ICR Reference No: 201005-0596-006
Status: Historical Active	Previous ICR Reference No: 200706-0596-002
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Financial Information Security Request Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/16/2011
	Date Received in OIRA: 11/30/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2014	36 Months From Approved	02/28/2011
Responses	250	0	150
Time Burden (Hours)	75	0	25
Cost Burden (Dollars)	0	0	0

---

Abstract: The majority of the Forest Service’s financial records are in databases stored at the National Finance Center (NFC). USDA DR-3140 and USDA DM-3140 require managers of computer processing operations to provide controlled access to facilities and computer resources.

---

Authorizing Statute(s): PL: Pub.L. 107 - 347 501-526 Name of Law: Federal Information Security Reform Act of 2002
   PL: Pub.L. 104 - 106 5001-5703 Name of Law: Information Technology Management Reform Act of 1996
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 28777	05/24/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 73999	11/30/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Financial Information Security Request Form	FS-6500-214	Financial Information Security Request Form

---

ICR Summary of Burden

	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	250	150	0	100	0	0
Annual Time Burden (Hours)	75	25	0	50	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Agency is requesting approval for 75 annual burden hours, based on 250 annual responses. This is an increase of 50 burden hours from the previous approval period. The difference is the result of including the training time required by contractors prior to signing the Security Form Request.

---

Annual Cost to Federal Government: $14,428

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/30/2010

---