Information Collection

U.S. Secret Service Facility Access Request

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSF 3237 U.S. Secret Service Facility Access Request 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

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSF 3237				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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
60-Day Federal Register Notice		06/27/2016
30-Day Federal Register Notice		08/01/2016

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

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