Justification Memo

OMB Control Number 0503-0014 change request memo - Final.pdf

USDA Registration Form to Request Electronic Access Code

Justification Memo

OMB: 0503-0014

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Change Request for OMB Control Number 0503-0014
USDA eAuthentication Service Customer Registration form

Page 2

The following table compares changes in the fields based on the current forms and
projected forms:
Level 1 Access
Current Form
Projected Form

Level 2 Access
Current Form
Projected Form

User ID

X

X

X

X

Password

X

X

X

X

Confirm Password

X

X

X

X

First Name

X

X

X

X

Middle Initial

X

X

X

X

Last Name

X

X

X

X

Home Address

X

X

City

X

X

State

X

X

Home Postal/Zip Code

X

X

X

Country Name

X

X

X

Email

X

X

X

X

Confirm Email

X

X

X

X

Home Phone

X

X

International Home Phone

X

Alternate Phone

X

International Alternate Phone

X

Mother's Maiden Name

X

X

4 digit PIN

X

X

Your Date of Birth

X

X

X

X

Security Questions/Answers

X

Change Request for OMB Control Number 0503-0014
USDA eAuthentication Service Customer Registration form

Current eAuthentication Level 1 Access Request

Proposed eAuthentication Level 1 Access Request

Page 3

Change Request for OMB Control Number 0503-0014
USDA eAuthentication Service Customer Registration form

Current eAuthentication Level 2 Access Request

Page 4

Change Request for OMB Control Number 0503-0014
USDA eAuthentication Service Customer Registration form

Proposed eAuthentication Level 2 Access Request

Page 5


File Typeapplication/pdf
File Modified2012-03-05
File Created2012-03-02

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