Financial Information Security Request Form

Forms and Documents

Document Name	Status
Form FS-6500-214 Financial Information Security Request Form Form	Unchanged
OMB Control Number 0596-0204; Title Financial Information Security Request Form.msg Justification for No Material/Nonsubstantive Change	2022-03-14
0596-0204 FinInfoSecReq Form (FS-6500-214)--3-10-2022--Pend CIO Approval.pdf Supplementary Document	2022-03-14
0596-0204 Financial Info Security Form FS-6500-214 screenshots v01-22-2014 OIRA Comments--FP 02282022.docx Supplementary Document	2022-03-14
DM 3140-001_Management ADP Secuirty.pdf Supplementary Document	2021-04-14
DR3140-001-Information Systems Security.pdf Supplementary Document	2021-04-14
FIPS-200-final-02272018.pdf Supplementary Document	2021-04-14
DM3515-000_USDA Privacy Requirements.pdf Supplementary Document	2021-04-14
Pub. Law 104-106_Information Technology Management Reform Act of 1996.pdf Supplementary Document	2021-04-14
0596-0204 Security_Matrix_for_Systems_Access_2018.xls Supplementary Document	2021-04-14
0596-0204 Supporting Statement.revision.docx Supporting Statement A	2022-03-14

IC Document Collections

IC ID	Document Title	Status
178798	Financial Information Security Request Form Form	Unchanged

ICR Details

OMB Control No: 0596-0204	ICR Reference No: 202203-0596-004
Status: Received in OIRA	Previous ICR Reference No: 202104-0596-001
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Financial Information Security Request Form
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/14/2022

	Requested	Previously Approved
Expiration Date	02/28/2023	02/28/2023
Responses	1,045	1,045
Time Burden (Hours)	315	315
Cost Burden (Dollars)	0	0

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Abstract: The majority of the Forest Service's financial records are in databases stored at the National Finance Center (NFC). USDA DR-3140 and USDA DM-3140 require managers of computer processing operations to provide controlled access to facilities and computer resources.

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Authorizing Statute(s): PL: Pub.L. 107 - 347 501-526 Name of Law: Federal Information Security Reform Act of 2002
   PL: Pub.L. 104 - 106 5001-5703 Name of Law: Information Technology Management Reform Act of 1996
  

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:
	86 FR 8754	02/09/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 21269	04/22/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Financial Information Security Request Form	FS-6500-214	Financial Information Security 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	1,045	1,045	0	0	0	0
Annual Time Burden (Hours)	315	315	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: $12,213

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.     No

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: 03/14/2022

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