CISA OCS Visitor Request Form

Documents and Forms

Document Name Document Type
Form 11000-39 CISA OCS Visitor Request Form Form
11000-39 Office of Compliance and Security, NPPD Visitor Request 1670-0036_CISA OCS Visitor Request Form_3_30-day FRN_INSTRUMENT_v1.pdf Form
PUBL 60-Day FRN--86 No. 30 FR 9949 on 20210217.pdf 60-Day FRN IC Document
1670-0036_CISA OCS Visitor Request Form_2_30-day FRN_SS-A_v1.docx 1670-0036_Supporting Statement A IC Document
PTA, 1670-0036_CISA OCS Visitor Request Form_PRIV PTA_20210108_FINAL.pdf PTA, 1670-0036_CISA OCS Visitor Request Form_PRIV PTA_20210108_FINAL IC Document
PubL 107-296 Sec II - The Homeland Security Act, 2002.pdf PubL 107-296 Sec II - The Homeland Security Act, 2002 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CISA OCS Visitor Request Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	11000-39	Office of Compliance and Security, NPPD Visitor Request Form	1670-0036_CISA OCS Visitor Request Form_3_30-day FRN_INSTRUMENT_v1.pdf		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	3,333	3,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
60-Day FRN	PUBL 60-Day FRN--86 No. 30 FR 9949 on 20210217.pdf	05/20/2021
1670-0036_Supporting Statement A	1670-0036_CISA OCS Visitor Request Form_2_30-day FRN_SS-A_v1.docx	05/20/2021
PTA, 1670-0036_CISA OCS Visitor Request Form_PRIV PTA_20210108_FINAL	PTA, 1670-0036_CISA OCS Visitor Request Form_PRIV PTA_20210108_FINAL.pdf	05/20/2021
PubL 107-296 Sec II - The Homeland Security Act, 2002	PubL 107-296 Sec II - The Homeland Security Act, 2002.pdf	05/20/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.