Information Collection Request

Financial Information Security Request Form

ICR 201802-0596-002 · OMB 0596-0204 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FS-6500-214 Financial Information Security Request Form Form Modified Available
DM 3140-001_Management ADP Secuirty.pdf Supplementary Document Uploaded 2018-02-27 Available
DR3140-001-Information Systems Security.pdf Supplementary Document Uploaded 2018-02-27 Available
FIPS-200-final-02272018.pdf Supplementary Document Uploaded 2018-02-27 Available
DM3515-000_USDA Privacy Requirements.pdf Supplementary Document Uploaded 2018-02-26 Available
Pub. Law 104-106_Information Technology Management Reform Act of 1996.pdf Supplementary Document Uploaded 2018-02-26 Available
0596-0204 Security_Matrix_for_Systems_Access_2018.xls Supplementary Document Uploaded 2018-02-26 Available
0596-0204 Financial info security SuptStmt 02162018.docx Supporting Statement A Uploaded 2018-02-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
178798 Financial Information Security Request Form Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2021 36 Months From Approved 04/30/2018
1,045 0 2,000
315 0 600
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Financial Information Security Request Form FS-6500-214 Financial Information Security Request Form

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,045 2,000 0 -955 0 0
Annual Time Burden (Hours) 315 600 0 -285 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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