Information Collection

Personnel Security System Access Request Form (PSSAR)

IC 217732 under ICR 201612-0704-006 · OMB 0704-0542.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0542 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Personnel Security System Access Request Form (PSSAR)	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

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 44,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	44,000	44,000
Annual IC Time Burden (Hours)	7,333	7,333
Annual IC Cost Burden (Dollars)	117,330	117,330

Documents for IC

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