Information Collection

CISA OCS Visitor Request Form

IC 247545 under ICR 202507-1670-006 · OMB 1670-0036.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 11000-39 CISA OCS Visitor Request Form	Form
Form 11000-39 CISA NCR Visitor Request Form CISA OCS Visitor Request Form	Form
11000-39 Office of Compliance and Security, NPPD Visitor Request 1670-0036_CISA OCS Visitor Request Form_3_30-day FRN_INSTRUMENT_v1.pdf	Form
11000-39 CISA NCR Visitor Request Form CISA NCR Visitor Request Form 11000-39.pdf	Form
PUBL 60-Day FRN--86 No. 30 FR 9949 on 20210217.pdf 60-Day FRN	IC Document
1670-0036_CISA OCS Visitor Request Form_2_30-day FRN_SS-A_v1.docx 1670-0036_Supporting Statement A	IC Document
PTA, 1670-0036_CISA OCS Visitor Request Form_PRIV PTA_20210108_FINAL.pdf PTA, 1670-0036_CISA OCS Visitor Request Form_PRIV PTA_20210108_FINAL	IC Document
PubL 107-296 Sec II - The Homeland Security Act, 2002.pdf PubL 107-296 Sec II - The Homeland Security Act, 2002	IC Document
PubL 107-296 Sec II - The Homeland Security Act, 2002.pdf PubL 107-296 Sec II - The Homeland Security Act, 2002	IC Document

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	11000-39				Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	3,333	3,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PubL 107-296 Sec II - The Homeland Security Act, 2002		05/20/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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