Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Security Modified 104556 21864 1970302 Form and Instruction DOE F 272.2 Personnel Security Information Report
Form and Instruction DOE F 472.11 Security Acknowledgement
Form DOE F 473.6 Request for Visit or Access Approval
Form DOE F 473.8 Report of Security Incident
Other-FACTS Screenshot
Form and Instruction DOE F 473.2 Badge Request Electronic
Form and Instruction DOE F 471.1 Security Incident Notification Report
Form DOE F 472.12 Security Termination Statement
Form Standard Form 328 Certificate Pertaining to Foreign Interests
Form and Instruction DOE F 473.3 Clearance Access Request
Form DOE F 473.7 Other Government Agency Clearance Action Request
Form DOE F 473.4 Federal or Contractor BAO Termination
Form DOE F 206.4 Information Sheet for Sponsorship of HSPD-12
Form DOE F 472.2 Mental Health Evaluation Consent
Form DOE F 470.11 Electronic DOE Integrated Security System (eDISS+) Access Request
Total burden requested under this ICR: 104556 21864 1970302  
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