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Personal Identity Verification Official (PIV-O) and Shield Request
Personal Identity Verification Official (PIV-O) and Shield Request
OMB: 1601-0038
IC ID: 263420
OMB.report
DHS/OS
OMB 1601-0038
ICR 202311-1601-002
IC 263420
( )
Documents and Forms
Document Name
Document Type
Form 11000-16
Personal Identity Verification Official (PIV-O) and Shield Request
Form and Instruction
11000-16 PIV-O Credential and Shield Request
DHS11000-16-DHS PIV-O Credential and Shield Request-03062023 (clean).pdf
Form and Instruction
11000-16 PIV-O Credential and Shield Request
DHS11000-16-DHS PIV-O Credential and Shield Request-03062023 (clean).pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Personal Identity Verification Official (PIV-O) and Shield Request
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
11000-16
PIV-O Credential and Shield Request
DHS11000-16-DHS PIV-O Credential and Shield Request-03062023 (clean).pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Personnel
Privacy Act System of Records
Title:
PIV Management System System of Records
FR Citation:
74 FR 30301
Number of Respondents:
1,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,500
0
0
1,500
0
0
Annual IC Time Burden (Hours)
375
0
0
375
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.