The FNS User Access Request Form Data Collection

Forms and Documents

Document Name	Status
Form FNS-674 FNS Computer System Access Request (Contractors) Form	Modified
Form FNS-674 FNS User Access Request Form (State) Form	Modified
Supporting Statement 0584-0532_05052021.docx Supporting Statement A	2021-05-05
Appendix G BURDEN CALCULATIONS_05032021.xlsx Supplementary Document	2021-05-03
Appendix C OMB Circular No A-130.pdf Supplementary Document	2021-04-27
Appendix B USDA Information System Security Program Directive.pdf Supplementary Document	2021-04-27
Appendix A Legal Authority Public Law 107 347.pdf Supplementary Document	2021-04-27

IC Document Collections

IC ID	Document Title	Status
37095	FNS Computer System Access Request (Contractors) Form	Modified
184860	FNS User Access Request Form (State) Form	Modified

ICR Details

OMB Control No: 0584-0532	ICR Reference No: 202104-0584-005
Status: Received in OIRA	Previous ICR Reference No: 201802-0584-001
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: The FNS User Access Request Form Data Collection
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/10/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2021
Responses	5,220	5,220
Time Burden (Hours)	870	870
Cost Burden (Dollars)	0	0

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Abstract: FNS 674 is used in all situations were access to FNS computer system is required, where current access is required to be modified, or where access is no longer required and must be deleted.

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Authorizing Statute(s): PL: Pub.L. 100 - 235 2 Name of Law: Computer Security Act of 1987
   PL: Pub.L. 107 - 347 xx Name of Law: E-Government Act of 2002
   PL: Pub.L. 1 - 1 xx Name of Law: The Federal Information Security Management Act of 2002
  

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:
	85 FR 29393	05/15/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 24839	05/10/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
FNS Computer System Access Request (Contractors)	FNS-674	FNS User Access Request Form
FNS User Access Request Form (State)	FNS-674	FNS User Access Request Form

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ICR Summary of Burden

	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	5,220	5,220	0	0	0	0
Annual Time Burden (Hours)	870	870	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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:

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Annual Cost to Federal Government: $8,703

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.     No

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? No

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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: 05/10/2021

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