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Personnel Security System Access Request Form (PSSAR)
Personnel Security System Access Request Form (PSSAR)
OMB: 0704-0542
IC ID: 217732
OMB.report
DOD/DODDEP
OMB 0704-0542
ICR 201612-0704-006
IC 217732
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0542 can be found here:
2021-12-30 - Revision of a currently approved collection
2018-09-20 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
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
Federal Enterprise Architecture Business Reference Module
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
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
44,000
0
0
0
0
44,000
Annual IC Time Burden (Hours)
7,333
0
0
0
0
7,333
Annual IC Cost Burden (Dollars)
117,330
0
0
0
0
117,330
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.