View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Security
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DOE F 272.2 Personnel Security Information Report DOE F 272.2 Personnel Security Information Report.pdf Yes Yes Fillable Fileable Signable
Form and Instruction DOE F 472.11 Security Acknowledgement DOE F 472.11 - Security Acknowledgment.pdf Yes Yes Fillable Fileable Signable
Form DOE F 473.6 Request for Visit or Access Approval DOE F 473.6 Request for Visitor Access Approval.pdf Yes Yes Fillable Fileable Signable
Form DOE F 473.8 Report of Security Incident DOE F 473.8 Report of Security Incident.pdf Yes Yes Fillable Fileable Signable
Other-FACTS Screenshot FACTS Screen Shots.pdf Yes Yes Fillable Fileable
Form and Instruction DOE F 473.2 Badge Request Electronic DOE F 473.2 Badge Request Electronic 10-2021.pdf Yes Yes Fillable Fileable
Form and Instruction DOE F 471.1 Security Incident Notification Report DOE F 471.1 Security Incident Notification Report 10-2021.pdf Yes Yes Fillable Fileable
Form DOE F 472.12 Security Termination Statement DOE F 472.12 Security Termination.pdf Yes Yes Fillable Fileable Signable
Form Standard Form 328 Certificate Pertaining to Foreign Interests OMB 1910-1800 SF-328.pdf Yes Yes Fillable Fileable Signable
Form and Instruction DOE F 473.3 Clearance Access Request DOE F 473.3 Security Clearance Access.pdf Yes Yes Fillable Fileable
Form DOE F 473.7 Other Government Agency Clearance Action Request DOE F 473.7 Other Government Agency Clearance Action Request.pdf Yes Yes Fillable Fileable
Form DOE F 473.4 Federal or Contractor BAO Termination DOE F 473.4 Federal or Contractor Building Access Only (BAO) Termination.pdf Yes Yes Fillable Fileable
Form DOE F 206.4 Information Sheet for Sponsorship of HSPD-12 DOE F 206.4 Information Sheet for Sponsorship of HSPD-12 Credential.pdf Yes Yes Fillable Fileable
Form DOE F 472.2 Mental Health Evaluation Consent DOE F 472.2 Mental Health Evaluation Consent.pdf Yes Yes Fillable Fileable
Form DOE F 470.11 Electronic DOE Integrated Security System (eDISS+) Access Request DOE F 470.11 eDISS Access Request.pdf Yes Yes Fillable Fileable

International Affairs and Commerce Foreign Affairs

 

95,596 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved 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 104,556 0 19,935 0 0 84,621
Annual IC Time Burden (Hours) 21,864 0 8,613 0 0 13,251
Annual IC Cost Burden (Dollars) 1,970,302 0 777,712 0 0 1,192,590

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.