Information Collection

U.S. Secret Service Facility Access Request

IC 20436 under ICR 201605-1620-001 · OMB 1620-0002.

Documents and Forms

Document Name Document Type
Form SSF 3237 U.S. Secret Service Facility Access Request Form
SSF 3237 U.S. Secret Service Facility Access Request ssf3237.pdf Form
60_Day_FR_Notice_2016.pdf 60-Day Federal Register Notice IC Document
30_Day_FR_Notice_2016.pdf 30-Day Federal Register Notice IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	U.S. Secret Service Facility Access Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	SSF 3237	U.S. Secret Service Facility Access Request	ssf3237.pdf		Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Leadership Protection

Privacy Act System of Records
Title: DHS/USSSâ004 Protection	FR Citation: 76 FR 66941

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,000	0	0	5,000
Annual IC Time Burden (Hours)	1,250	0	0	1,250
Annual IC Cost Burden (Dollars)	0	-98,325	98,325	0

Documents for IC

Title	Document	Date Uploaded
60-Day Federal Register Notice	60_Day_FR_Notice_2016.pdf	06/27/2016
30-Day Federal Register Notice	30_Day_FR_Notice_2016.pdf	08/01/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.