Information Collection

Financial Information Security Request Form

IC 178798 under ICR 202205-0596-002 · OMB 0596-0204.

Documents and Forms

Document Name Document Type
Form FS-6500-214 Financial Information Security Request Form Form
FS-6500-214 Financial Information Security Request Form 0596-0204 Financial Info Security Form FS-6500-214 screenshots v01-22-2014.docx Closed system, only available via FS Intranet Form

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: Modified

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	FS-6500-214	Financial Information Security Request Form	0596-0204 Financial Info Security Form FS-6500-214 screenshots v01-22-2014.docx	Closed system, only available via FS Intranet	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 209	Number of Respondents for Small Entity: 209

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,045	0	0	1,045
Annual IC Time Burden (Hours)	315	0	0	315
Annual IC Cost Burden (Dollars)	0	-15,475	15,475	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.