Personnel Security System Access Request Form (PSSAR)

ICR 201612-0704-006

OMB: 0704-0542

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2016-12-28
Supporting Statement A
2015-07-31
Supplementary Document
2015-07-31
IC Document Collections
IC ID
Document
Title
Status
217732
Modified
ICR Details
0704-0542 201612-0704-006
Historical Active 201507-0704-004
DOD/DODDEP
Personnel Security System Access Request Form (PSSAR)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/05/2017
Retrieve Notice of Action (NOA) 12/29/2016
  Inventory as of this Action Requested Previously Approved
09/30/2018 09/30/2018 09/30/2018
44,000 0 44,000
7,333 0 7,333
117,330 0 117,330

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.

US Code: 50 USC 401 Name of Law: null
   EO: EO 10450 Name/Subject of EO: null
  
None

Not associated with rulemaking

  80 FR 18223 04/03/2015
80 FR 47480 08/07/2015
No

1
IC Title Form No. Form Name
Personnel Security System Access Request Form (PSSAR) Personnel Security System Access Request (PSSAR)

  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 44,000 0 0 0 0
Annual Time Burden (Hours) 7,333 7,333 0 0 0 0
Annual Cost Burden (Dollars) 117,330 117,330 0 0 0 0
No
No

$4,400
No
No
No
No
No
Uncollected
Tyler Robinson 571 372-0403 tyler.f.robinson.ctr@mail.mil

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/29/2016


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