Personnel Security System Access Request Form (PSSAR)

Forms and Documents

Document Name	Status
Form DD 2962 Personnel Security System Access Request Form (PSSAR) Form and Instruction	New
OMB_XXXX-XXXX_PSSAR_Supporting_Statement(2).DOC Supporting Statement A	2015-07-31
JPAS_SSN Justification.pdf Supplementary Document	2015-07-31

IC Document Collections

IC ID	Document Title	Status
217732	Personnel Security System Access Request Form (PSSAR) Form and Instruction	New

ICR Details

OMB Control No: 0704-0542	ICR Reference No: 201507-0704-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Personnel Security System Access Request Form (PSSAR)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/14/2015
	Date Received in OIRA: 08/07/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2018	36 Months From Approved
Responses	44,000	0	0
Time Burden (Hours)	7,333	0	0
Cost Burden (Dollars)	117,330	0	0

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Abstract: JPAS requires personal data collection to facilitate the initiation, investigation and adjudication of information relevant to DoD security clearances and employment suitability determinations for military, civilian employees and contractors seeking such credentials. Security Managers working in private companies that contract with DoD and require access to JPAS to update security-related information about their company's employees must complete DD Form 2962 to access JPAS. Completion of the form assures users have met the requirements for access to the system of record.

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Authorizing Statute(s): US Code: 50 USC 401 Name of Law: null
   EO: EO 10450 Name/Subject of EO: null
  

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:
	80 FR 18223	04/03/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 47480	08/07/2015
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Personnel Security System Access Request Form (PSSAR)	DD 2962	PERSONNEL SECURITY SYSTEM ACCESS REQUEST (PSSAR)

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ICR Summary 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	44,000	0	0	44,000	0	0
Annual Time Burden (Hours)	7,333	0	0	7,333	0	0
Annual Cost Burden (Dollars)	117,330	0	0	117,330	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $4,400

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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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: 08/07/2015

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