Request for DLA Badge

Physical Access Control System - Diamond II

Documents and Forms

Document Name Document Type
Form DLA 1815 Request for DLA Badge Form
PAS AGENCY DISCLOSURE NOTICE for DL1815.docx Other-PAS & ADN
DLA 1815 Request for DLA Badge DLA 1815.pdf Form

Information Collection (IC) Details

IC Title:	Request for DLA Badge	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	DLA 1815	Request for DLA Badge	DLA 1815.pdf		No		Paper Only
Other-PAS & ADN			PAS AGENCY DISCLOSURE NOTICE for DL1815.docx		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: Facility Access Records	FR Citation: 74 FR 22896

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	3,750	3,750
Annual IC Cost Burden (Dollars)	93,435	93,435

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.