Facility Access Request

ICR 202006-1660-007

OMB:

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2021-01-27
Supplementary Document
2021-01-27
Supplementary Document
2021-01-27
Supplementary Document
2021-01-27
Supplementary Document
2021-01-27
Supplementary Document
2021-01-27
Supplementary Document
2021-01-27
Supplementary Document
2020-06-24
Supplementary Document
2020-06-24
Supporting Statement A
2020-06-24
IC Document Collections
IC ID
Document
Title
Status
242405 New
ICR Details
202006-1660-007
Received in OIRA
DHS/FEMA
Facility Access Request
New collection (Request for a new OMB Control Number)   No
Regular 02/16/2021
  Requested Previously Approved
36 Months From Approved
20,500 0
3,485 0
0 0

The purpose of the collection is for the Federal Emergency Management Agency (FEMA) to obtain information from all persons applying for access to any FEMA controlled facility through the use of two Facility Access Request forms: FEMA Form 121-3-1-3A and 121-3-1-3B. This information is used to create a profile in the Physical Access Control System (PACS). The collection of personally identifiable information (PII) is used to authenticate the identity of FEMA employees and contractors, and visitors who request and are granted entry authorization. FEMA uses this collected information to run an additional background check through the National Crime Information Center (NCIC). NCIC is a computerized database administered by the Federal Bureau of Investigation (FBI) that provides ready access to law enforcement agencies for making inquiries about an individual’s criminal history. This check verifies that an individual does not have any outstanding warrants for criminal activities indicating a risk to the Department of Homeland Security. This information collection is further used to contact individuals in the event of an emergency.

US Code: 18 USC 930 Name of Law: Possession of firearms and dangerous weapons in Federal
   US Code: 42 USC 5197a Name of Law: Security Regulations
   US Code: 40 USC 1315 Name of Law: Law Enforcement Authority of Secretary of Homeland Security for Protection of Public Property
  
None

Not associated with rulemaking

  85 FR 3712 01/22/2020
85 FR 29733 05/18/2020
No

1
IC Title Form No. Form Name
Facility Access Request 121-3-1-3A, 121-3-1-3B Facility Access Request ,   Facility Access Request

  Total Request 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 20,500 0 0 20,500 0 0
Annual Time Burden (Hours) 3,485 0 0 3,485 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.

$23,027
No
    Yes
    Yes
No
No
No
No
Kevin Crosby 202 550-6482 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/16/2021


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