Facility Access Media (FAM) Request

Facility Access Media (FAM) Request, formerly Identification Card Request

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0057 can be found here:

Documents and Forms

Document Name Document Type
Form NA Form 6006 Facility Access Media (FAM) Request Form and Instruction
NA Form 6006 Facility Access Media (FAM) Request na-6006_12_19_change_COPY.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Facility Access Media (FAM) Request	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	NA Form 6006	Facility Access Media (FAM) Request	na-6006_12_19_change_COPY.pdf		Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title: NARA 11, Credentials and Passes	FR Citation: 78 FR 77264

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	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.