Information Collection

Facility Access Media (FAM) Request

IC 32568 under ICR 201912-3095-001 · OMB 3095-0057.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

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.