Financial Information Security Request Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
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 ID	Collection	Type	Status	Form
178798	Financial Information Security Request Form	Form	Modified	Financial Information Security Request Form

ICR Details

OMB Control No: 0596-0204	ICR Reference No: 201802-0596-002
Status: Historical Active	Previous ICR Reference No: 201401-0596-002
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Financial Information Security Request Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/27/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/27/2018
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2021	36 Months From Approved	04/30/2018
Responses	1,045	0	2,000
Time Burden (Hours)	315	0	600
Cost Burden (Dollars)	0	0	0

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Abstract: The majority of the Forest Service's financial records are in databases stored at the National Finance Center (NFC). USDA DR-3140 and USDA DM-3140 require managers of computer processing operations to provide controlled access to facilities and computer resources.

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Authorizing Statute(s): PL: Pub.L. 104 - 106 5001-5703 Name of Law: Information Technology Management Reform Act of 1996
   PL: Pub.L. 107 - 347 501-526 Name of Law: Federal Information Security Reform Act of 2002
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 55347	11/21/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 8240	02/26/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

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

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ICR Summary of Burden

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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There were errors in calculating the burden rate and collecting number of respondents in prior year submissions. It has been corrected with this IC. The estimated number of respondents did change from 415 to 209 due to previous years we were counting contractors who did not need access to agency financial systems to do their job. This IC renewal we only included respondents who used the FS-6500-214 Financial Information Security Request Form.

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Annual Cost to Federal Government: $12,213

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/27/2018

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