Information Collection

Financial Information Security Request Form

IC 178798 under ICR 200702-0596-001 · OMB 0596-0204.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0596-0204 can be found here:

Documents and Forms

Document Name Document Type
Form FS-6500-214 Financial Information Security Request Form Form and Instruction
FS-6500-214 Financial Information Security Request Form FS_6500_214_eform.doc fsweb.r3.fs.fed.us/asc/bfm/programs/technical-support/ Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Financial Information Security Request Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FS-6500-214	Financial Information Security Request Form	FS_6500_214_eform.doc	http://fsweb.r3.fs.fed.us/asc/bfm/programs/technical-support/	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 50

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	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.