Information Collection

System Authorization Access Request

IC 252258 under ICR 202504-0704-002 · OMB 0704-0630.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD 2875 System Authorization Access Request	Form and Instruction
Form DD 2875 System Authorization Access Request (SAAR) System Authorization Access Request	Form and Instruction
DD 2875 System Authorization Access Request (SAAR) dd2875.pdf www.esd.whs.mil/Directives/forms/dd2500_2999/DD2875/	Form and Instruction
DD 2875 System Authorization Access Request (SAAR) dd2875.pdf www.esd.whs.mil/Directives/forms/dd2500_2999/DD2875/	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	DD 2875			https://www.esd.whs.mil/Directives/forms/dd2500_2999/DD2875/	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	Previously Approved
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.

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