Information Collection

Naval Sea Systems Command and Field Activity Visitor Access Request

IC 182255 under ICR 202211-0703-004 · OMB 0703-0055.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NAVSEA Form 5500/1 NAVSEA Visitor's Sign In/Out Sheet Naval Sea Systems Command and Field Activity Visitor Access Request	Form
0703-0055_VISITOR CONTROL CENTER SCRIPT_20230119.docx	Other-VCC Script
0703-0055_VISITOR CONTROL CENTER SCRIPT_20230119.docx	Other-VCC Script
NAVSEA Form 5500/1 NAVSEA Visitor's Sign In/Out Sheet NAVSEA 5500-1 (Rev. Apr 2023).pdf	Form
NAVSEA Form 5500/1 NAVSEA Visitor's Sign In/Out Sheet NAVSEA 5500-1 (Rev. Apr 2023).pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-VCC Script					Yes	Yes	Fillable Fileable
Form	NAVSEA Form 5500/1				No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: Badge and Access Control System Records

FR Citation: 79 FR 19593

Number of Respondents: 30,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30,000	24,800	5,200
Annual IC Time Burden (Hours)	2,500	1,200	1,300
Annual IC Cost Burden (Dollars)	102,500	64,319	38,181

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.

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