Form 6006 Part One Supervisor

NA Form 6006, Facility Access Media
(FAM) Request 
6006 Form Part 1 - Authorizing Official Initiate PIV/Access Request
* Indicates required question

1.

Email *

Privacy Act Statement
In compliance with the Privacy Act of 1974, the following information is provided: Solicitation of
the information is authorized by 44.U.S.C. 2104. Disclosure of the information is voluntary. The
information provided will be used to prepare and issue an identification card or pass. Additionally,
the information may be provided to an expert, consultant, or contractor of NARA to assist NARA
in the performance of its duties. If some or any of the information is not provided by the
candidate, the effect will be that the Facility Access Media may not be issued, resulting in the
candidate being denied access to NARA facilities and IT systems. 

Paperwork Reduction Act Public Burden Statement
You are not required to provide the information requested on a form that is subject to the
Paperwork Reduction Act unless the form displays a valid OMB control number. Public burden
reporting for this collection of information is estimated to be 3 minutes per response. Send
comments regarding the burden statement or any other aspect of the collection of
information, including suggestions for reducing this burden to the National Archives and Records
Administration (MP), 8601 Adelphi Road, College Park, MD 20740-6001. DO NOT SEND
COMPLETED FORMS TO THIS ADDRESS.

NA Form 6006 (07-23) Required by NARA 275
OMB Control No. 3095-0057, Expiration date: 
01/31/2027

Request Details

2.

Supervisor/Hiring Manager Phone Number

Candidate Information and Request Type
Authorizing officials cannot submit requests for themselves. 

3.

Candidate's Legal First Name *

4.

Candidate's Legal Last Name *

5.

Candidate's email address *

6.

PIV Request Type

*

Please read the choices below carefully.
If current PIV is lost, expiring, damaged or has an expired certificate, select
Replacement PIV.
If new PIV is needed for 15 days to 6 months, select PIV-I. 
If new PIV is needed for 6 months or more, select New PIV.
Mark only one oval.
Replacement PIV
PIV-I
New PIV

Skip to question 8
Skip to question 8

Replacement Reason

7.

What is the reason for the replacement? *
Mark only one oval.
Damaged
Lost
Expired
Other:

Employee Information

8.

(Optional) When will the employee be starting with NARA? If known, add the date
below.

Example: January 7, 2019

9.

Is the candidate a NARA employee? *
Mark only one oval.
Yes
No

Term Employee

Skip to question 11

10.

Is the candidate a term employee? *
Mark only one oval.
Yes
No
The candidate is a Voluntary Intern

Candidate Information
This section applies to all employees including contractors. 

11.

Candidate's NARA Office Code *
Mark only one oval.
A
AC
ACO
ACO1
ACO2
ACOS
ACP
ACPP
ACPS
ACR
ACR1
ACR2
ACR3
ACR4
ACRC
ACRS
ACT
ACT1
AF
AFC
AFN
AFN-C
AFN-CO
AFN-CR
AFN-M
AFN-MC1
AFN-MC2
AFN-MC3

Dropdown

AFN-MC4
AFN-MC5
AFN-MO
AFN-MR
AFO
AFOD
AFOE-AT
AFOE-BO
AFOE-CH
AFOE-DT
AFOE-FW
AFOE-KR
AFOE-PA
AFOE-PF
AFOP
AFOR
AFOR-R
AFOR-S
AFOT
AFOW
AFOW-DV
AFOW-KC
AFOW-LS
AFOW-LX
AFOW-RS
AFOW-SB
AFOW-SE
AISOO
AISOO-C
ANDC

AOGIS
B
B-AC
BF
BFF
BFS
BQ
BQA
BQB
BQC
BQD
BQE
BQF
BQK
BQP
BQS
BQU
BR
BX
C
CA
CH
CM
F
FD
FL
FP
H
HL
HS

HT
I
IB
ID
IG
IJ
IM
IO
IQ
IR
IS
IT
L
LA
LL
LO
LW
M
MP
NCON
ND
NEEO
NGC
NHPRC
OIG
P
PE
PL
PL-BHO
PL-DDE

PL-DJT
PL-FDR
PL-GB
PL-GRF
PL-GRFM
PL-GWB
PL-HH
PL-HST
PL-JC
PL-JFK
PL-LBJ
PL-RN
PL-RR
PL-WJC
PW
R
RF
RR
RR1
RR1M
RR1P
RR1R
RR2
RR2A
RR2R
RRE
RREA
RREP
RRER
RRET

RRF
RRFA
RRFB
RRFC
RRFD
RRFE
RRFF
RRFK
RRFN
RRFP
RRFR
RRFS
RRP
RRPO
RRS
RRSC
RRSM
RRSS
RX
RXC
RXM
RXS
RXT
RZ
RZA
RZT
S
S-A
SC
SE

ST
V
VE
VM
VP
VW
X
XA
XB
XF
XT
Z

12.

Is the candidate's duty station their home? 
Mark only one oval.
Yes, the candidate is remote.
No, the candidate's duty location is at a facility.

13.

Candidate's Duty Location (Facility Name or Remote and the address of the
facility or office)

14.

Candidate's Duty Zip Code *

15.

Candidate's Position/Title *

*

16.

Is the candidate a contractor? *
Mark only one oval.
Yes
No

Skip to question 22

Contractors

17.

Which of these apply? *
Mark only one oval.
The contractor is expected to be with NARA for 15 days or less.
The contractor is expected to with NARA for 15 days to six months.
The contractor is expected to be with NARA for six months or more.

18.

Please attach the completed OF-306 (for Contractors only) *
Files submitted:

19.

Is the candidate on a Classified Contract?  *
Mark only one oval.
Yes
No

Skip to question 22

Classified Contract Information
This section applies to CONTRACTORS ONLY.

20.

NARA Classified Contract Number *

21.

Clearance Level Required *

Agency Role

22.

Candidate agency role (check all that apply) *
Check all that apply.

Not applicable
Building manager
OIG special agent
Public affairs official
Safety official
Security official
Federal emergency response official
Other:

23.

Candidate access. Explain required access areas needed (e.g, offices, stacks,
labs, etc.)

24.

Does the candidate require 24-hour building access? This requires approval by the *
facility designated official. 
Mark only one oval.
Yes
No

Skip to question 26

*

24 Hour Access - Designated Official Approval

25.

Please upload a PDF of the approval email from the facility designated official
approving 24-hour access for this employee.

*

Files submitted:
Candidate Affiliation

26.

Candidate affiliation (check all that apply) For Voluntary (Unpaid) Intern only
select Voluntary (Unpaid) Intern.

*

Check all that apply.

Federal Employee
Voluntary (Unpaid) Intern
Intern (Pathways)
Foreign National
Contractor
Volunteer
Foundation Employee
Employee of Another Federal Agency

27.

To what agency or organization does the candidate belong? (Federal agency or, if *
contractor, firm's name)

PIV Sponsor Location

28.

If the candidate is within 50 miles of a NARA facility, please select the facility
below.
Mark only one oval.
Candidate is REMOTE and not within 50 miles of a NARA facility.
Abilene, KS

Skip to question 32

Ann Arbor, MI

Skip to question 32

Atlanta, GA

Skip to question 32

Austin, TX

Skip to question 32

Boston, MA

Skip to question 32

Broomfield, CO

Skip to question 32

Centerville, OH

Skip to question 32

Chicago, IL

Skip to question 32

College Park, MD

Skip to question 32

College Station, TX
Dallas, TX

Skip to question 32

Skip to question 32

Ellenwood, GA

Skip to question 32

Fort Worth, TX
Grand Rapids, MI

Skip to question 32

Hoffman Estates, IL
Hyde Park, NY

Skip to question 32

Independence, MO
Kansas City, MO
Keyser, WV

Skip to question 32

Miamisburg, OH

Morrow, GA
New York, NY

Skip to question 32

Skip to question 32

Little Rock, AR

Moraine, OH

Skip to question 32
Skip to question 32

Lees Summit, MO
Lenexa, KS

Skip to question 32

Skip to question 32
Skip to question 32
Skip to question 32
Skip to question 32
Skip to question 32

*

Perris, CA

Skip to question 32

Philadelphia, PA
Plano, TX

Skip to question 32

Skip to question 32

San Bruno, CA
Seattle, WA

Skip to question 32
Skip to question 32

Simi Valley, CA

Skip to question 32

Spanish Lake, MO

Skip to question 32

Suitland, MD

Skip to question 32

Valmeyer, IL

Skip to question 32

Waltham, MA

Skip to question 32

Washington, DC

Skip to question 32

West Branch, IA

Skip to question 32

Yorba Linda, CA

Skip to question 32

If the candidate is not within 50 miles of a NARA facility (REMOTE EMPLOYEES
ONLY), where will the candidate go for their id card appointment?  

1. Navigate to https://fedidcard.gov in a new window.
2. Select the link to Find a credential center.
3. Change the Activity filter dropdown to Enrollment/Activation. 
4. Change the State or territory dropdown to the candidate's home state and select
the Filter button.
5. In the filtered list, find a facility near the candidate with a Center type of Shared.
6. Copy and paste the Agency, Address, and Special Instructions below.

29.

Enrollment/Activation: Agency

30.

Enrollment/Activation: Address

31.

Enrollment/Activation: Special Instructions

Final Submission
Once you submit, this information will be accessible to the Personnel Security Office and the
Physical Security Office. 

32.

Is there anything else we need to know to process this request?

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