Narrative of Changes Table

Narrative of Changes Table
The purpose of the Narrative of Changes Table is to demonstrate changes to a collection since the previous
approval.

Collection Title: U.S. Secret Service Facility Access Request (new title)
OMB Control No.: 1620-0002
Collection Instrument(s): SSF 3237, U.S. Secret Service Facility Access Request
Location

Current version

Section A is completed by the Secret Service:
Section A,
3. Telephone number
Item 3
Section A,
4. Sites or facility(s) to accessed by
Item 4
requestor

Proposed Revision

3. E-mail address
4. Company/agency and position
to be held or other duties
performed

Section A,
Item 5

5. Frequency of access required

5. USSS contract number

Section A,
Item 6

6. Position to be held or duties to
be performed

6. Is this a classified
program/contract?
Does the applicant have a DD254 on file?

Section A,
Item 7

7. Length of work to be performed,
or duration of access

7. Type of applicant: contractor,
detailee, government employee
outside of the Secret Service,
other

Section A,
Item 8

8. Type of applicant: contractor,
detailee, government employee
outside of the Secret Service

8. Specify the type of access that
this applicant requires

Section B is completed by the applicant (i.e., public responder):
Section B,
(10b.) Length of time at this
11. Do you have an unexpired
Items 10-11 address
DHS PIV card?

Justification

Program office would prefer to
communicate via e-mail.
Program office no longer needs
to know specific facility for
which access is required, but
needs to know the name of the
individual’s company or
agency. See Section A, Item 6.
Program office moved and
clarified the frequency of
access required to Item 8. The
program office needs to verify
the USSS contract number.
Program office moved and
clarified “position to be held or
duties to be performed”
question to Item 4. Program
office needs to know
information regarding
classified access.
Information regarding the
length of time for which access
will be granted has been moved
to Item 8. Information
formerly asked in Item 8 has
been moved to Item 7.
Information formerly asked in
Item 8 has been moved to Item
7. Item 8 has divided the types
of access that the USSS will
grant into 3 categories.
The second question in Item
10, “length of time at this
address,” is no longer needed.
The program office needs to
know whether or not the
applicant holds a valid PIV.
This additional item was
renumbered as Item 11.

Section B,
Items 11-12
Section B,
Items 12

11. Telephone

Section B,
Items 13

13. Spouse’s name and address

Section B,
Item 14

14a. Name and address of
employer
14b. Length of time you worked
for this employer
3. A representative from the U.S.
Secret Service Responsible Office
should submit this completed form
to the U.S. Secret Service Security
Clearance Division at least five
business days prior to the
anticipated access date.

Section B,
Instructions

Section B,
Instructions

Section B,
Instructions

Section B,
Instructions

12. Marital Status

4. If there are any questions
regarding this form, please contact
the Security Management Division
at 202-406-6658.

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11. Do you have an unexpired
DHS PIV card?
12. Telephone

13. Name and address of
employer (now includes
company name and specifies
“street address,” and “city, state,
ZIP.”)
14. Length of time you worked
for this employer

3. A representative from the U.S.
Secret Service Responsible
Office must submit this
completed form to the U.S.
Secret Service Security
Management Division at least
five business days prior to the
anticipated access date for
Category 1 applicants. For
Category 2 and Category 3
applicants, the USSS responsible
office must submit this
completed form to the Security
Management Division at least 10
business days prior to the
anticipated access date.
4. A DD-254 form is required for
all contractor positions requiring
a security clearance. By
selecting "YES" for Section A,
Item 9, you are verifying that a
DD-254 is on file for the contract
identified in Section A, Item 5
(DD-254 requirements are not
applicable for detailees).
5. Note that the applicant must
sign this form TWICE: once
under the release statement at the
top of this page, and again at
item 21.
6. If there are any questions
regarding this form, please
contact the Security Management
Division at 202-406-6658.

See above.
Program office no longer needs
to know applicant’s marital
status. Former Item 11
renumbered as Item 12.
Program office does not need
to know information about
applicant’s spouse. New Item
13 was formerly Item 14.
Renumbered. Formerly, the
length of time question was
part of Item 13.
Clarified instructions for USSS
employees to submit completed
forms to the program office,
based upon the category of the
applicant. This revision also
reflects the name change of the
program office from Security
Clearance Division to Security
Management Division.

Renumber as number 6. The
new instruction in number four
describes the requirement that
USSS employees have to verify
to the program office that a
DD-254 is on file for the
contract.

Clarification for USSS
employees.

Former number 4.