Personnel Security System Access Request Form (PSSAR)

Forms and Documents

Document Name	Status
Form DD Form 2962 Personnel Security System Access Request Form (PSSAR) Form and Instruction	Modified
0704-0542_BackgroundSupplemental_9.20.2018.docx Supplementary Document	2018-09-20
0704-0542_SSA_9.7.2018.docx Supporting Statement A	2018-09-20
SSN Justification Memo for PSSAR (DD 2962).pdf Supplementary Document	2018-09-19

IC Document Collections

IC ID	Document Title	Status
217732	Personnel Security System Access Request Form (PSSAR) Form and Instruction	Modified

ICR Details

OMB Control No: 0704-0542	ICR Reference No: 201809-0704-002
Status: Active	Previous ICR Reference No: 201612-0704-006
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Personnel Security System Access Request Form (PSSAR)
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: 10/22/2018
	Date Received in OIRA: 09/20/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	36 Months From Approved	10/31/2018
Responses	22,225	0	44,000
Time Burden (Hours)	3,704	0	7,333
Cost Burden (Dollars)	120,385	0	117,330

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Abstract: JPAS requires personal data collection to facilitate the initiation, investigation and adjudication of information relevant to DoD security clearances and employment suitability determinations for military, civilian employees and contractors seeking such credentials. Security Managers working in private companies that contract with DoD and require access to JPAS to update security-related information about their company's employees must complete DD Form 2962 to access JPAS. Completion of the form assures users have met the requirements for access to the system of record.

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Authorizing Statute(s): US Code: 50 USC 401 Name of Law: Congressional Declaration of purpose
   EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employment
   US Code: 50 USC 435 Name of Law: Purposes
   EO: EO 10865 Name/Subject of EO: Safeguarding Classified Information Within Industry
   EO: EO 12333 Name/Subject of EO: United States Intelligence Activities
   EO: EO 12829 Name/Subject of EO: National Industrial Security Program
   EO: EO 12968 Name/Subject of EO: Access to Classified Information
  

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:
	83 FR 12569	03/22/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 47610	09/20/2018
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Personnel Security System Access Request Form (PSSAR)	DD Form 2962-1, DD Form 2962	Personnel Security System Access Request Form ,   Personnel Security System Access Request Form

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ICR Summary 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	22,225	44,000	0	0	-21,775	0
Annual Time Burden (Hours)	3,704	7,333	0	0	-3,629	0
Annual Cost Burden (Dollars)	120,385	117,330	0	0	3,055	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: No

Burden Reduction Due to:

Short Statement: The decrease of 3,629 is annual hours is the result of Program Adjustment to more accurately reflect the number of public respondents. The number of respondents is reduced from 44,000 to 22,225. The frequency and estimated time to respond have remained the same at 1 and 10 minutes respectively.

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Annual Cost to Federal Government: $77,825

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.     Yes

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.     Yes

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: 09/20/2018

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