U.S. Secret Service Facility Access Request.

ICR 201605-1620-001

OMB: 1620-0002

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2016-08-09
Supplementary Document
2016-08-01
Supplementary Document
2016-08-01
Supplementary Document
2016-08-01
Supplementary Document
2013-05-29
Supplementary Document
2006-09-08
Supplementary Document
2006-09-08
IC Document Collections
IC ID
Document
Title
Status
20436 Modified
ICR Details
1620-0002 201605-1620-001
Historical Active 201305-1620-001
DHS/USSS
U.S. Secret Service Facility Access Request.
Revision of a currently approved collection   No
Regular
Approved without change 11/08/2016
Retrieve Notice of Action (NOA) 08/31/2016
  Inventory as of this Action Requested Previously Approved
11/30/2019 36 Months From Approved 11/30/2016
5,000 0 5,000
1,250 0 1,250
0 0 0

The Secret Service will use this form to determine suitability for admission to Secret Service controlled facilities by Secret Service contractor personnel or non-Secret Service Government employees on official business that require access to Secret Service controlled facilities in performance of official duties.

EO: EO 9397 Name/Subject of EO: Numbering System for Federal Accounts Relating to Individual Persons
   US Code: 18 USC 3056 Name of Law: Powers, authorities, and duties of United States Secret Service
  
None

Not associated with rulemaking

  81 FR 31652 05/19/2016
81 FR 49245 07/27/2016
No

1
IC Title Form No. Form Name
U.S. Secret Service Facility Access Request SSF 3237 U.S. Secret Service Facility Access Request

  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 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 1,250 1,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 -98,325 98,325 0
No
No

$98,325
No
No
No
No
No
Uncollected
Nancy House 202 406-6888 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/31/2016


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