CISA OCS Visitor Request Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 11000-39 CISA NCR Visitor Request Form	Form	Modified	Repair queued
Form 11000-39 CISA OCS Visitor Request Form	Form	Unchanged	Repair queued
PTA, CISA - CISA Visitor Request Form, 20240610, PRIV Final.pdf	Supplementary Document	Uploaded 2026-01-08	Available
2025-21452.pdf	Supplementary Document	Uploaded 2026-01-08	Repair queued
2025-15860.pdf	Supplementary Document	Uploaded 2026-01-08	Repair queued
Supporting Statement A CISA Visitor Request Form.docx	Supporting Statement A	Uploaded 2026-01-08	Available
1670-0036_CISA OCS Visitor Request Form_SSA_20210721_FINAL.docx	Supporting Statement A	Uploaded 2021-07-21	Repair queued
PUBL 30-Day FRN--86 No. 118 FR 32956 on 20210623.pdf	Supplementary Document	Uploaded 2021-07-13	Available
PUBL 30-Day FRN--86 No. 118 FR 32956 on 20210623.pdf	Supplementary Document	Uploaded 2021-07-13	Repair queued
PL 107-296 Sec II - The Homeland Security Act, 2002.pdf	Supplementary Document	Uploaded 2021-05-20	Available
PL 107-296 Sec II - The Homeland Security Act, 2002.pdf	Supplementary Document	Uploaded 2021-05-20	Repair queued
DHS ALL PIA-039.pdf	Supplementary Document	Uploaded 2021-05-20	Available
DHS ALL PIA-039.pdf	Supplementary Document	Uploaded 2021-05-20	Repair queued
PUBL 60-Day FRN--86 No. 30 FR 9949 on 20210217.pdf	Supplementary Document	Uploaded 2021-05-20	Available
PUBL 60-Day FRN--86 No. 30 FR 9949 on 20210217.pdf	Supplementary Document	Uploaded 2021-05-20	Repair queued
DHS ALL 024.docx	Supplementary Document	Uploaded 2017-12-21	Available
DHS ALL 024.docx	Supplementary Document	Uploaded 2017-12-21	Available
DHS ALL 023.docx	Supplementary Document	Uploaded 2017-12-21	Available
DHS ALL 023.docx	Supplementary Document	Uploaded 2017-12-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
247545	CISA OCS Visitor Request Form	Form	Modified	CISA NCR Visitor Request Form
247545	CISA OCS Visitor Request Form	Form	Unchanged

ICR Details

OMB Control No: 1670-0036	ICR Reference No: 202507-1670-006
Status: Active	Previous ICR Reference No: 202105-1670-004
Agency/Subagency: DHS/CISA	Agency Tracking No: PRA-OCSO-00002603
Title: CISA OCS Visitor Request Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/12/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/29/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2029	36 Months From Approved	02/28/2026
Responses	20,000	0	20,000
Time Burden (Hours)	3,333	0	3,333
Cost Burden (Dollars)	0	0	0

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Abstract: Public Law 107-296 The Homeland Security Act of 2002, Title II, recognizes the Department of Homeland Security role in integrate relevant critical infrastructure and cybersecurity information, analyses, and vulnerability assessments (whether such information, analyses, or assessments are provided or produced by the Department or others) in order to identify priorities for protective and support measures by the Department, other agencies of the Federal Government, State and local government agencies and authorities, the private sector, and other entities while maintaining positive control of sensitive information regarding the national infrastructure. In support of this mission the National Protection and Programs Directorate Office of Compliance and Security must maintain a robust visitor screening capability.

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Authorizing Statute(s): PL: Pub.L. 107 - 296 II Name of Law: The Homeland Security Act of 2002
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 40637	08/20/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 54731	11/28/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
CISA OCS Visitor Request Form	11000-39	CISA NCR Visitor Request Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	20,000	20,000	0	0	0	0
Annual Time Burden (Hours)	3,333	3,333	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $250,473

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/29/2025

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