Private Sector Clearance Program (PSCP) Request Form

Private Sector Clearance Program (PSCP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0013 can be found here:

Documents and Forms

Document Name Document Type
Form DHS 9014 Private Sector Clearance Program (PSCP) Request Form Form and Instruction
DHS 9014 PRIVATE SECTOR CLEARANCE PROGRAM REQUEST 1670-0013_PSCP_DHS Form 9014_CISA_protected.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Private Sector Clearance Program (PSCP) Request Form	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
Form and Instruction	DHS 9014	PRIVATE SECTOR CLEARANCE PROGRAM REQUEST	1670-0013_PSCP_DHS Form 9014_CISA_protected.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: Department of Homeland Security/ALL--023 Personnel Security Management System of Records	FR Citation: 75 FR 8088

Number of Respondents: 660	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	660	160	500
Annual IC Time Burden (Hours)	110	-723	833
Annual IC Cost Burden (Dollars)	0	0	0

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.