Information Collection

System Authorization Access Request

IC 252258 under ICR 202203-0704-010 · OMB 0704-0630.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0630 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD2875 System Authorization Access Request	Form
DD2875 System Authorization Access Request DD2875.PDF	Form
DD2875 System Authorization Access Request DD2875.PDF	Form

IC Title:

System Authorization Access Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	DD2875	System Authorization Access Request	DD2875.PDF		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,200,000	7,200,000
Annual IC Time Burden (Hours)	600,000	600,000
Annual IC Cost Burden (Dollars)	16,242,000	16,242,000

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.