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Facility Access Media (FAM) Request
Facility Access Media (FAM) Request, formerly Identification Card Request
OMB: 3095-0057
IC ID: 32568
OMB.report
NARA
OMB 3095-0057
ICR 202502-3095-002
IC 32568
( )
Documents and Forms
Document Name
Document Type
Form NA 6006
Facility Access Media (FAM) Request
Form
NA 6006 NA 6006 Part One Supervisor
6006 Form p1 - Supervisor Initiate Request - Google Forms.pdf
Form
NA 6006 NA 6006 Part Two Candidate
6006 Form p2 - Candidate Step - Google Forms.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Facility Access Media (FAM) Request
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
NA 6006
NA 6006 Part One Supervisor
6006 Form p1 - Supervisor Initiate Request - Google Forms.pdf
Yes
Yes
Fillable Fileable
Form
NA 6006
NA 6006 Part Two Candidate
6006 Form p2 - Candidate Step - Google Forms.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Cultural and Historic Preservation
Privacy Act System of Records
Title:
NARA 11, Credentials and Passes
FR Citation:
78 FR 77264
Number of Respondents:
1,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,500
0
0
0
0
1,500
Annual IC Time Burden (Hours)
75
0
0
0
0
75
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.