Agency Information Collection Activities: State, Local, Tribal and Private Sector (SLTPS) Clearance Request Form (Form 9014) Submission to the Office of Management and Budget for Review and Approval; Comment Request
The Office of the Chief Security Officer (OCSO) within Cybersecurity and Infrastructure Security Agency (CISA) submits the following Information Collection Request (ICR) to the ...
Cybersecurity and Infrastructure Security Agency (CISA), Department of Homeland Security (DHS).
ACTION:
60-Day notice and request for comments.
SUMMARY:
The Office of the Chief Security Officer (OCSO) within Cybersecurity and Infrastructure Security Agency (CISA) submits the following Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and clearance. This is an extension and revision of the information collection 1670-0013 (SLTPS) Clearance Request Form (Form 9014) that was previously approved on October 17, 2023, with and expiration date of October 31, 2026.
DATES:
Comments are encouraged and will be accepted until November 9, 2026. Submissions received after the deadline for receiving comments may not be considered.
ADDRESSES:
You may submit comments, identified by docket number Docket # CISA-2026-0199, by following the instructions below for submitting comment via the Federal eRulemaking Portal at
www.regulations.gov.
Instructions:
All comments received must include the agency name and docket number Docket # CISA-2026-0199. All comments received will be posted without change to
www.regulations.gov, including any personal information provided.
Docket:
For access to the docket to read background documents or comments received, go to
www.regulations.gov.
Partnerships between the U.S. Government and the state, local, tribal and private sector at times necessitate the sharing of classified information. The State, Local, Tribal and Private Sector (SLTPS) Clearance Request Form facilitates this sharing by sponsoring security clearances for certain members of each sector based on either their membership on a Sector Coordinating Council (SCC)/association or their infrastructure protection job-related duties and their need-to-know. The SLTPS Clearance Program is designed to sponsor security clearances for state, local, tribal and private sector officials involved in the infrastructure protection mission. These partners are subject matter experts within specific industries and have specialized knowledge not available within the Department of Homeland Security (DHS) and other
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Federal Departments or Agencies. Private citizens do not receive monetary compensation for their time. CISA created this program to sponsor clearances for these individuals who are not employed by or contracted with another Federal agency (the traditional means of obtaining a clearance) and must have clearances.
The form updates will include removing CISCA and CCIPP from the drop-down capabilities box.
CISA collects necessary information through 1670-0013 to facilitate security clearances needed for sharing classified information with the vetted SLTPS Stakeholders.
The U.S. Government is authorized to ask for this information under Sections 2202 and 2212 of the Homeland Security Act (Pub. L. 107-296, 6 U.S.C. 652, 662), and Executive Orders 12968, 13526, 13549, 13636, and 13691 which authorize the collection of this information.
In order to begin this process of adjudicating a nominee to participate in the clearance program, federal nominators will complete the DHS Form 9014, State, Local, Tribal and Private Sector Clearance Request Form. The federal nominator will sign the form and have it approved by a senior-level official from the corresponding Federal Department or Agency. The signatures indicate the nominator and senior-level official have deemed the applicant have a CISA mission and meet the requirements and criteria as outlined in Executive Order (E.O.) 13549, the Department of Homeland Security, Classified National Security Information Program for SLTPS Implementing Directive and E.O. 13691, Sec. 4(c), and 32 CFR, Part 117, Sec. 117.22 of the National Industrial Security Program Operating Manual (NISPOM). Once submitted to the CISA Office of the Chief Security Officer (OCSO) the SLTPS Administrator will request the Personally Identifiable Information (PII) and a record is created into the Integrated Security Management System (ISMS). The Security Specialist will initiate an eApplication (eAPP), the Defense Counterintelligence and Security Agency secure portal for investigation processing. Once the data is entered into e-App, the nominee is provided a password and can access the system and complete the online security questionnaire.
This is an extension request for an existing information collection. There are no substantive changes to the collection instrument.
This information is only available to Security Specialists within OCSO working on the program and is maintained in ISMS, which is “owned” by the OCSO. The two-part PII request process helps minimize the collection of sensitive PII for only those nominees who meet the threshold and are sponsored by CISA.
The Office of Management and Budget is particularly interested in comments which:
1. Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility;
2. Evaluate the accuracy of the agency's estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to be collected; and
4. Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology,
e.g., permitting electronic submissions of responses.
Analysis
Agency:
Cybersecurity and Infrastructure Security Agency (CISA), Department of Homeland Security (DHS).
Title:
STATE, LOCAL, TRIBAL AND PRIVATE SECTOR CLEARANCE REQUEST.
OMB Number:
1670-0013.
Frequency:
WHEN REQURIED: 302 USED IN 2024/254 USED IN 2025.
Affected Public:
STATE, LOCAL, TRIBAL AND PRIVATE SECTOR STAKEHOLDERS AND CRITICAL INFRASTRUCTURE OWNERS AND OPERATORS.
Number of Respondents:
550.
Estimated Time per Respondent:
0.1667 HOURS (10 minutes).
Total Burden Hours:
91.67 ANNUAL BURDEN HOURS.
Total Annual Burden Cost:
TOTAL BURDEN COST (RESPONDENT): $11,816.
Total Annual Government Burden Cost:
$357,879.
Winfield P. Werntz,
Acting Chief Information Officer, Department of Homeland Security, Cybersecurity and Infrastructure Security Agency.
Use this for formal legal and research references to the published document.
91 FR 57645
Web Citation
Suggested Web Citation
Use this when citing the archival web version of the document.
“Agency Information Collection Activities: State, Local, Tribal and Private Sector (SLTPS) Clearance Request Form (Form 9014) Submission to the Office of Management and Budget for Review and Approval; Comment Request,” thefederalregister.org (September 10, 2026), https://thefederalregister.org/documents/2026-18477/agency-information-collection-activities-state-local-tribal-and-private-sector-sltps-clearance-request-form-form-9014-su.