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U.S. Secret Service Facility Access Request
U.S. Secret Service Facility Access Request.
OMB: 1620-0002
IC ID: 20436
OMB.report
DHS/USSS
OMB 1620-0002
ICR 201605-1620-001
IC 20436
( )
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Leadership Protection
Privacy Act System of Records
Title:
DHS/USSS–004 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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,000
0
0
0
0
5,000
Annual IC Time Burden (Hours)
1,250
0
0
0
0
1,250
Annual IC Cost Burden (Dollars)
0
0
-98,325
98,325
0
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.