Information Collection Request

CISA OCS Visitor Request Form

ICR 202507-1670-006 · OMB 1670-0036 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 11000-39 CISA NCR Visitor Request Form Form Modified Repair queued
Form 11000-39 CISA OCS Visitor Request Form Form Unchanged Repair queued
PTA, CISA - CISA Visitor Request Form, 20240610, PRIV Final.pdf Supplementary Document Uploaded 2026-01-08 Available
2025-21452.pdf Supplementary Document Uploaded 2026-01-08 Repair queued
2025-15860.pdf Supplementary Document Uploaded 2026-01-08 Repair queued
Supporting Statement A CISA Visitor Request Form.docx Supporting Statement A Uploaded 2026-01-08 Available
1670-0036_CISA OCS Visitor Request Form_SSA_20210721_FINAL.docx Supporting Statement A Uploaded 2021-07-21 Missing upstream
PUBL 30-Day FRN--86 No. 118 FR 32956 on 20210623.pdf Supplementary Document Uploaded 2021-07-13 Available
PUBL 30-Day FRN--86 No. 118 FR 32956 on 20210623.pdf Supplementary Document Uploaded 2021-07-13 Repair queued
PL 107-296 Sec II - The Homeland Security Act, 2002.pdf Supplementary Document Uploaded 2021-05-20 Available
PL 107-296 Sec II - The Homeland Security Act, 2002.pdf Supplementary Document Uploaded 2021-05-20 Repair queued
DHS ALL PIA-039.pdf Supplementary Document Uploaded 2021-05-20 Available
DHS ALL PIA-039.pdf Supplementary Document Uploaded 2021-05-20 Missing upstream
PUBL 60-Day FRN--86 No. 30 FR 9949 on 20210217.pdf Supplementary Document Uploaded 2021-05-20 Available
PUBL 60-Day FRN--86 No. 30 FR 9949 on 20210217.pdf Supplementary Document Uploaded 2021-05-20 Repair queued
DHS ALL 024.docx Supplementary Document Uploaded 2017-12-21 Available
DHS ALL 024.docx Supplementary Document Uploaded 2017-12-21 Available
DHS ALL 023.docx Supplementary Document Uploaded 2017-12-21 Available
DHS ALL 023.docx Supplementary Document Uploaded 2017-12-21 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
247545 CISA OCS Visitor Request Form Form ModifiedCISA NCR Visitor Request Form
247545 CISA OCS Visitor Request Form Form Unchanged
ICR Details
1670-0036 202507-1670-006
Active 202105-1670-004
DHS/CISA PRA-OCSO-00002603
CISA OCS Visitor Request Form
Revision of a currently approved collection   No
Regular
Approved without change 02/12/2026
Retrieve Notice of Action (NOA) 08/29/2025
  Inventory as of this Action Requested Previously Approved
02/28/2029 36 Months From Approved 02/28/2026
20,000 0 20,000
3,333 0 3,333
0 0 0

Public Law 107-296 The Homeland Security Act of 2002, Title II, recognizes the Department of Homeland Security role in integrate relevant critical infrastructure and cybersecurity information, analyses, and vulnerability assessments (whether such information, analyses, or assessments are provided or produced by the Department or others) in order to identify priorities for protective and support measures by the Department, other agencies of the Federal Government, State and local government agencies and authorities, the private sector, and other entities while maintaining positive control of sensitive information regarding the national infrastructure. In support of this mission the National Protection and Programs Directorate Office of Compliance and Security must maintain a robust visitor screening capability.

PL: Pub.L. 107 - 296 II Name of Law: The Homeland Security Act of 2002
  
None

Not associated with rulemaking

  90 FR 40637 08/20/2025
90 FR 54731 11/28/2025
No

1
IC Title Form No. Form Name
CISA OCS Visitor Request Form 11000-39 CISA NCR Visitor Request Form

  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 20,000 20,000 0 0 0 0
Annual Time Burden (Hours) 3,333 3,333 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$250,473
No
    Yes
    Yes
No
No
No
No
Tyrone Huff 202 447-0106 [email protected]

  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.
08/29/2025