Security

Security

OMB: 1910-1800

IC ID: 23402

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-FACTS Screenshot
Form and Instruction
Form and Instruction
Form and Instruction
Form
Form
Form and Instruction
Form
Form and Instruction
Form
Form
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Security Baldev Dhillon
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DOE F 5631.34 Data Report on Spouse Cohabitant DOE F 5631 34 Data Report on Spouse Cohabitant 10-2021.pdf Yes Yes Fillable Fileable Signable
Form and Instruction DOE F 5631.5 The Conduct of Personnel Security Interviews DOE F 5631.5 The Conduct of Personnel Security Interviews 10-2021.pdf Yes Yes Fillable Fileable Signable
Form and Instruction DOE F 5631.18 Security Acknowledgement DOE F 5631.18 Security Acknowledgement 10-2021.pdf Yes Yes Fillable Fileable Signable
Form DOE F 5631.20 Request for Visit or Access Approval DOE F 5631.20 Request for Visit or Access Approval 10-2021.pdf Yes Yes Fillable Fileable Signable
Form DOE F 5639.3 Report of Security Incident/Infraction DOE F 5639.3 Report of Security Incident - Infraction 10-2021.pdf Yes Yes Fillable Fileable Signable
Other-FACTS Screenshot FACTS Screen Shots.pdf Yes Yes Fillable Fileable
Form and Instruction DOE F 473.2 Badge Request Electronic DOE F 473.2 Badge Request Electronic 10-2021.pdf Yes Yes Fillable Fileable
Form DOE F 472.3 Foreign Citizenship Acknowledgement DOE F 472.3 Foreign Citizenship Acknowledgement 10-2021.pdf Yes Yes Fillable Fileable Signable
Form and Instruction DOE F 471.1 Security Incident Notification Report DOE F 471.1 Security Incident Notification Report 10-2021.pdf Yes Yes Fillable Fileable
Form DOE F 5631.29 Security Termination Statement DOE F 5631.29 Security Termination Statement 10-2021.pdf Yes Yes Fillable Fileable Signable
Form Standard Form 328 Certificate Pertaining to Foreign Interests OMB 1910-1800 SF-328.pdf Yes Yes Fillable Fileable Signable
Form and Instruction DOE F 473.3 Clearance Access Request DOE F 473.3 Clearance Access Request.pdf Yes Yes Fillable Fileable
Form and Instruction DOE F 272.2 Personnel Security Information Reporting Form DOE F 272.2 - Personnel Security Information Reporting Form (fillable) - October 2022.pdf Yes Yes Fillable Fileable

International Affairs and Commerce Foreign Affairs

 

100,661 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 109,621 0 25,000 0 0 84,621
Annual IC Time Burden (Hours) 25,751 0 12,500 0 0 13,251
Annual IC Cost Burden (Dollars) 2,317,590 0 1,125,000 0 0 1,192,590

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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