Request for One-VA Identification Card

ICR 201412-2900-001

OMB: 2900-0673

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2014-12-04
Supporting Statement A
2015-09-02
Supplementary Document
2014-12-01
Supplementary Document
2014-12-01
Supplementary Document
2014-12-04
IC Document Collections
ICR Details
2900-0673 201412-2900-001
Historical Active 201203-2900-011
VA 2900-0673
Request for One-VA Identification Card
Revision of a currently approved collection   No
Regular
Approved without change 09/28/2015
Retrieve Notice of Action (NOA) 05/27/2015
By the next submission, VA will incorporate the standard expiration date field into the electronic submission form.
  Inventory as of this Action Requested Previously Approved
09/30/2018 36 Months From Approved 09/30/2015
100,000 0 100,000
8,333 0 8,333
0 0 0

This collection is necessary to determine VA contractor and affiliate eligibility for Personal Identification Verification (PIV) cards. Sponsors must complete the Sponsor section of the VA PIV Enrollment System Portal to start the PIV Card issuance/re-issuance process and to ultimately issue a PIV Card. It is estimated the average employee will require PIV Card re-issuance every three years. Contractors and affiliates need for PIV Card re-issuance will also depend on the length of the contract or length of service with VA.

None
None

Not associated with rulemaking

  79 FR 244 12/19/2014
80 FR 23857 04/29/2015
No

1
IC Title Form No. Form Name
REQUEST FOR PERSONAL IDENTITY VERIFICATION CARD

  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 100,000 100,000 0 0 0 0
Annual Time Burden (Hours) 8,333 8,333 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$280,238
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 crystal.rennie@va.gov

  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.
05/27/2015


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