OMB control number

USDA PIV Request for Credential

OMB 0505-0022 ยท USDA/OCFO.

OMB 0505-0022

This AD-1197 form is used for information collection pursuant to the approval and issuance of non-PIV credentials, such as a temporary site badge.

The latest form for USDA PIV Request for Credential expires 2026-07-31 and is listed under ICR 202305-0505-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form AD-1197 USDA PIV Request for CredentialForm
0505-0022 SuptStmt.docxSupporting Statement A
HSPD-12 Directive_001.pdf Supplementary Document
USDA PIV Request for Credential Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202305-0505-001 Revision of a currently approved collection 2023-05-31 Approved with change
202004-0505-001 Revision of a currently approved collection 2020-04-17 Approved without change
201702-0505-001 Extension without change of a currently approved collection 2017-02-13 Approved without change
201308-0505-001 Revision of a currently approved collection 2013-08-19 Approved without change
200906-0505-001 Revision of a currently approved collection 2009-06-30 Approved without change
200604-0505-001 Revision of a currently approved collection 2006-04-27 Approved without change
200510-0505-001 New collection (Request for a new OMB Control Number) 2005-10-20 Approved without change