Information Collection

Personnel Security System Access Request Form (PSSAR)

IC 217732 under ICR 201809-0704-002 · OMB 0704-0542.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0542 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 2962 Personnel Security System Access Request Form (PSSAR)	Form and Instruction
DD Form 2962-1 Personnel Security System Access Request Form dd2962-v1 draft 20180920.pdf	Form and Instruction
DD Form 2962 Personnel Security System Access Request Form DD 2962 v2 20180717.PDF	Form and Instruction

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD Form 2962	Personnel Security System Access Request Form	DD 2962 v2 20180717.PDF		Yes	Yes	Fillable Fileable
Form and Instruction	DD Form 2962-1	Personnel Security System Access Request Form	dd2962-v1 draft 20180920.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22,225

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	22,225	-21,775	44,000
Annual IC Time Burden (Hours)	3,704	-3,629	7,333
Annual IC Cost Burden (Dollars)	120,385	3,055	117,330

Documents for IC

table that charts IC Documents
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.