State, Local, Tribal and Private Sector Clearance Request Form

Private Sector Clearance Program (PSCP)

OMB: 1670-0013

IC ID: 214622

Information Collection (IC) Details

View Information Collection (IC)

State, Local, Tribal and Private Sector Clearance Request Form
No Modified
Required to Obtain or Retain Benefits

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DHS 9014 PRIVATE SECTOR CLEARANCE PROGRAM REQUEST 1670-0013_PSCP_DHS Form 9014_CISA_protected.pdf Yes Yes Fillable Fileable Signable

Homeland Security Key Asset and Critical Infrastructure Protection

Department of Homeland Security/ALL--023 Personnel Security Management System of Records  75 FR 8088

550 0
Private Sector Businesses or other for-profits
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 550 0 0 -110 660 0
Annual IC Time Burden (Hours) 92 0 0 -18 110 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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