Information Collection Request

USDA PIV Request for Credential

ICR 201308-0505-001 · OMB 0505-0022 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form AD-1197 USDA PIV Request for Credential Form Modified Available
13340_Fair Credit Reporting Act.pdf Supplementary Document Uploaded 2013-08-19 Available
OMB SuptStmt Questions 2013 v3.doc Supporting Statement A Uploaded 2013-08-19 Repair queued
OFO 306.pdf Supplementary Document Uploaded 2013-08-19 Available
HSPD-12 Directive_001.pdf Supplementary Document Uploaded 2009-06-29 Available
sf86.pdf Supplementary Document Uploaded 2009-06-29 Available
sf85p.pdf Supplementary Document Uploaded 2009-06-29 Available
sf85.pdf Supplementary Document Uploaded 2009-06-29 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
985 USDA PIV Request for Credential Form Modified
ICR Details
0505-0022 201308-0505-001
Historical Active 200906-0505-001
USDA/OCFO
USDA PIV Request for Credential
Revision of a currently approved collection   No
Regular
Approved without change 02/12/2014
Retrieve Notice of Action (NOA) 08/19/2013
  Inventory as of this Action Requested Previously Approved
02/28/2017 36 Months From Approved 02/28/2014
12,000 0 5,833
30,000 0 20,416
0 0 0

This form collects information related to USDA employees, contractors, and non-employee affiliates applying for a USDA credential (identification card), in accordance with Homeland Security Presidential Directive 12 and Federal Information Processing Standard 201.

PL: Pub.L. 110 - 53 523 Name of Law: The Implementing the 9/11 Recommendtions Act of 2007
  
None

Not associated with rulemaking

  78 FR 58 03/26/2013
78 FR 159 08/16/2013
No

1
IC Title Form No. Form Name
USDA PIV Request for Credential AD-1197 Request for USDA Identification (ID) Badge

  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 12,000 5,833 0 0 6,167 0
Annual Time Burden (Hours) 30,000 20,416 0 9,584 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Since the last approval, we have now entered the burden for full PIV implementation. As a result of that implementation being automated, the burden per response is reduced. However the number of contractors increased, resulting in an increase in responses. The burden hours increased due to reevaluation of per response time for PIV forms.

$307,080
No
No
No
No
No
Uncollected
Richard Holman 2027203901

  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.
08/19/2013