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NATIONAL FINANCE CENTERWEB APPLICATIONS REQUEST FOR SECURITY ACCESS FORMSECTION 1. USER INFORMATIONCheck this box for multiple users with different or same access. See pages 4, 5, or 6.A.NFC USER ID(Existing users)C.SOCIAL SECURITY NUMBER(New federal users only)B.USER NAMED.E.CONTRACTOR EXPIRATION DATE(Y/N)(Contractor only)F.USER EMAIL(New users only)SECTION 2. ACTION REQUIREDA.B. ROLE IDENTIFIER/ROLE NAMEADDMODIFYC. ENVIRONMENTPRODDELETECUATTRAININGSECTION 3. ORGANIZATIONAL STRUCTUREA. DEPARTMENTB. AGENCYC. SERVICED AGENCYSECTION 4. LEVEL OF ACCESSA. ORGANIZATION CODEB. PERSONNEL OFFICE IDENTIFIER(S) (POI)C. CONTACT POINTSD. EMPLOYING OFFICEE. AGENCY LOCATION CODE (ALC)SECTION 5. REPORTING CENTERSENSITIVE/DETAILNON-SENSITIVE (DETAIL)In the column to the left of each report, please select an A, M, or D (add, modify, or delete)ADMINISTRATIVE REPORTSForm 1095-C Employer Provided HealthInsurance Offer and Coverage (ORG and/or POI required - detail and sensitive only)BEAR56 (ORG and/or POI requiredsensitive only)Cost Metrics Reports (ORG required)ABCO Forms (POI required)FINANCIAL REPORTSEnergy Reports (USDA only)SF-224 Abstract of Transactions(Agency-wide only)W2 Wage & Tax Statement (ORG and/orPOI required - detail only)T&A Reports (Employee Office and/or contactpoint required - detail only)SF-2812 Reports (Department-wide only)PERSONNEL REPORTS (ORG and/or POIrequired - sensitive)OTRS Reports (ALC required)Statement of Earnings & Leave (ORGand/or POI required - detail only)WORKFORCE REPORTS (ORG and/orPOI required - sensitive)Retirement Processing Reports (ORG and/or POIrequired)REMARKSSECTION 6. OTHER AVAILABLE APPLICATIONSSelect the application that applies. Agencies should only select applications that they are authorized to have access to.OCFO FEE (OFEE) (USDA and - Agency-wide only) FINANCIAL STATEMENTS DATA EXCHANGE(FSDE) (USDA only)Agency Approver (CFO)Agency PreparerOCFO AdministratorOCFO PreparerOIG AuditorINTRADEPARTMENTAL TRANSACTIONSRECONCILIATION SYSTEM (ITRS) (USDA r (all agencies)Agency UserPreparer-GBAuditorReviewer-GBwebTAUSDAWORKING CAPITAL FUND (FUND) (USDA only)NON-USDAHR AdminDOJSBAPAYCHECK8Agency Connect HR AdminDIRECT PREMIUM REMITTANCE WEB(DPRW) (POI required)OIG AuditorAgency HRPreparerOPMREMARKSFORM AD-3100-R (Revised 9/18)

SECTION 7. INSIGHTCheck this box for multiple users with different or same access. See page 7.INSIGHT APPLICATIONSAs applicable to the user, mark each box with an X or the otherwise appropriate information.OBIEE ROLES - Must select ONLY ONE from this category.AUTHOR - Create, Edit, Share ReportsCONSUMER - View Detailed and Summary DataCONSUMER - View Summary Data ONLYROLE BASED ACCESS (As applicable to the user, mark each box with an X). *** If “Personnel - All” is selected, you do not need to select other Personnel roles.PERSONNEL - ALLPAYTAPERSONNEL - BASICPMSOPERSONNEL - DIVERSITYEmpowHRPERSONNEL - SOCIAL SECURITY NUMBERTMGTPERSONNEL - UNION DESIGNATIONPERSONNEL - DISABILITY AND VETERANS DESIGNATIONMASCPERSONNEL - OTHER SENSITIVERETMABCO ReceivableswebTA - Non SensitiveABCO ClaimswebTA - SensitiveADDITIONAL NOTES:Page 2 of 9FORM AD-3100-R (Revised 9/18)

SECTION 8. EMPOWHR REQUESTEMPOWHR APPLICATIONS - Use page 8 to add multiple accounts/permission list changesUSER NAMEEMPLOYEE IDUSER EMAIL ADDRESSEMPOWHR ROW LEVEL SECURITYEMPOWHR PRIMARY PERMISSION LISTID TYPE (Employee or Non)SetIDDeptIDACCESS CODEREAD/WRITENO ACCESSEMPOWHR APPLICATION ROLE(S)SPECIAL CASE/OTHER ITEMSSUPERVISOR’S SIGNATURESECTION 9. AUTHORIZATION (ASO use only)Authorizing this form acknowledges that the business requirements have been reviewed and adhere to the agency business requirements and federal regulatory requirements ofleast privilegesASO SIGNATUREDATEPRIVACY ACT NOTICE: In compliance with the Privacy Act of 1974, the following information is provided: Solicitation of your Social Security Number (SSN) isauthorized by Executive Order 9397 of November 22, 1943 and 5 U.S.C. 301. The primary purpose of requesting the SSN is to properly identify the employee. Manyemployees have similar names and the furnishing of the SSN will enable USDA to identify authorized users of USDA’s computer systems. The information will be usedby offices and employees who have a need for the information in the performance of their official duties. The information will not be disclosed outside USDA or theemploying agency. Disclosure of your SSN and other information is voluntary; however, failure to provide the requested information may impede, delay or prevent furtherprocessing of this request.Page 3 of 9FORM AD-3100-R (Revised 9/18)

MULTIPLE USERS FOR REPORTING CENTERLIST MULTIPLE USERSACTIONA/M/D(Add, Modify,Delete)NFC USER ID(Existing users)USER NAMESOCIAL SECURITYNUMBERCONTRACTOR EXPIRATION DATE(Contractor only)(New federal users only)(Y/N)USER EMAIL(New users only)LEVEL OF ACCESSALCORG.CODEPOICONTACT POINTS12345678910111213141516To list additional users, please fill out Form AD-3100-RCR.Page 4 of 9FORM AD-3100-R (Revised 9/18)

MULTIPLE USERS FOR OTHER AVAILABLE APPLICATIONSLIST MULTIPLE USERSACTIONA/M/DNFC USER ID(Existing users)(Add, Modify,Delete)USER NAMESOCIAL SECURITYNUMBER(New federal users only)USER EMAIL(New users only)ORG/POI1OFEEDPRWITRSFSDEAgency Approver (CFO)Agency HRAdministratorAdministratorAdministratorAgency PreparerOPMOIG AuditorAgency UserPreparerAuditorAuditor (allagencies)OCFO AdministratorOCFO PreparerAgency Approver (CFO)Agency HRAdministratorAdministratorAdministratorAgency PreparerOPMOIG AuditorAgency UserPreparerAuditorAuditor (allagencies)OCFO AdministratorOCFO PreparerAgency Approver (CFO)Agency HRAdministratorAdministratorAdministratorAgency PreparerOPMOIG AuditorAgency UserPreparerAuditorAuditor (allagencies)OCFO AdministratorOCFO PreparerAgency Approver (CFO)Agency HRAdministratorAdministratorAdministratorAgency PreparerOPMOIG AuditorAgency UserPreparerAuditorAuditor (allagencies)OCFO AdministratorOCFO PreparerAgency Approver (CFO)Agency HRAdministratorAdministratorAdministratorAgency PreparerOPMOIG AuditorAgency UserPreparerAuditorAuditor (allagencies)OCFO AdministratorOCFO PreparerOIG AuditorTo list additional users, please fill out Form AD-3100-RCO.Page 5 of 9Preparer-GBReviewer-GBOIG Auditor5Preparer-GBReviewer-GBOIG Auditor4Preparer-GBReviewer-GBOIG Auditor3Preparer-GBReviewer-GBOIG Auditor2FUNDPreparer-GBReviewer-GBFORM AD-3100-R (Revised 9/18)

LIST MULTIPLE USERSACTIONA/M/D(Add, Modify, Delete)INSTANCEMULTIPLE USERS FOR webTA/PAYCHECK8USER SBADOJAPPLICATION ROLEHR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)HR Admin (webTA)Agency connect HR Admin (Paycheck8)Page 6 of 9FORM AD-3100-R (Revised 9/18)

MULTIPLE USERS FOR INSIGHTLIST MULTIPLE USERSACTIONA/M/DNFC USER ID(Existing users)(Add, Modify,Delete)USER NAMEUSER EMAIL(New users only)ORG/POI1USER ROLESAUTHOR - Create, Edit, ShareReportsROLE LEVELSPERSONNEL - ALLPAYTAPERSONNEL - BASICPMSOCONSUMER -View Detailed andSummary DataPERSONNEL - DIVERSITYEMPOWHRCONSUMER - View SummaryData ONLYPERSONNEL - SOCIALSECURITY NUMBERTMGTPERSONNEL - UNIONDESIGNATIONPERSONNEL - DISABILITY ANDVETERANS DESIGNATIONMASCRETMwebTA Non-SensitivewebTA SensitivePERSONNEL - OTHERSENSITIVEABCO ReceivablesABCO Claims2AUTHOR - Create, Edit, ShareReportsPERSONNEL - ALLPAYTAPERSONNEL - BASICPMSOCONSUMER -View Detailed andSummary DataPERSONNEL - DIVERSITYEMPOWHRCONSUMER - View SummaryData ONLYPERSONNEL - SOCIALSECURITY NUMBERTMGTPERSONNEL - UNIONDESIGNATIONPERSONNEL - DISABILITY ANDVETERANS DESIGNATIONMASCRETMwebTA Non-SensitivewebTA SensitivePERSONNEL - OTHERSENSITIVEABCO ReceivablesABCO Claims3AUTHOR - Create, Edit, ShareReportsCONSUMER -View Detailed andSummary DataCONSUMER - View SummaryData ONLYPERSONNEL - ALLPAYTAPERSONNEL - BASICPMSOPERSONNEL - DIVERSITYEMPOWHRPERSONNEL - SOCIALSECURITY NUMBERTMGTPERSONNEL - UNIONDESIGNATIONPERSONNEL - DISABILITY ANDVETERANS DESIGNATIONMASCRETMwebTA Non-SensitivewebTA SensitivePERSONNEL - OTHERSENSITIVEABCO ReceivablesABCO ClaimsTo list additional users, please fill out Form AD-3100-RCI.Page 7 of 9FORM AD-3100-R (Revised 9/18)

MULTIPLE USERS FOR EMPOWHRLIST MULTIPLE USERSACTIONA/M/D(Add, Modify,Delete)EMPLOYEE IDUSER NAMEUSER EMAIL ADDRESS(New users only)EmpowHR PRIMARY PERMISSION LISTEmpowHR ROW LEVEL SECURITYAPPLICATIONROLESID TYPE(Employee or 82930To list additional users, please fill out Form AD-3100-RCE.Page 8 of 9FORM AD-3100-R (Revised 9/18)

Administrative ReportsBear56 ReportCost Metrics ReportsEnergy Data DownloadEnergy DetailEnergy SummaryOTRS/IPACRetirement MetricsT&A Error AnalysisT&A Missing Personnel ActionsT&A Reject ReportT&A YTD Reject ReportT&As Not Received by NFCFinancial Reports1095-C Statement ResearchABCO FormsPayroll Listing for W-2 ResearchPersonal Benefits StatementSF 2812 ReportsSF-224 Scap5D AttachmentsStatement of Earnings and LeaveW2 Wage and Tax StatementPersonnel Action ReportsAll ActionsAll Actions Minority ProfileHiresHires Minority ProfilePromotionsPromotions Minority ProfileSeparationsSeparations Minority ProfileWorkforce Reports1102/1105 Series ListingACT 32 PA Local TaxAge ProfileCPDF Error ReportCanc. Payments Req.Agcy Action(DOTS)Civilian Employment(SF-113A) reportCivilian Employment(SF-113G)reportComp Time - Current BalanceComp Time - Regular CompTime DataComp Time - Regular Earnedand UsedComp Time - Travel CompTime DataDental/Vision Plan ReportDues WithheldEPP ESS TransactionEPP Usage StatisticsEarnings Limitation ReportEducation Level ProfileEmployee Search (By Name)Employee Search (By SSNO)Employment ChangesEmployment by Disability CodeFEHB and FEGLI Counters(LWOP)Flex FundGains and LossesGender ProfileGrade Distribution 2.0Grade RangeGrades Across Minorityand GenderHoliday Time CostsLeave BalancesLeave LiabilityLength of Service ProfileLife Insurance ListingLong Term CareLump Sum Annual LeavePaymentsPage 9 of 9MD-715 - EEOC Workforce DataMinority ProfileMisc Personnel/Payroll (Startup 1)Non-Pay Hours ReportOccupational Categories ProfileOccupational Series ListingOfficial Time for Union BusinessOrganization ProfileOverdue Performance AppraisalsOvertime CostsPACS44204 FCA FlexFund HCA/DCAPACS44205 FCA FlexFund HCA/DCAPACS46508 Thrift Plan PaymentPATCO Profile By OccupationalSeriesPaid Listing (Startup 17)Pay Plan and Grade DistributionPay RaisePosition Organization Listing (POL)Projected Promotion/WGIsRetirement EligibilityRetirement Profile (Inc. Early Out)Roster of EmployeesSalary ListingSalary SummaryTable 74-Official Titles andTitle CodesTable 76-Working Titles andTitle CodesTelework ReportThird Party Garnishments ReportUnion Activity Exception ReportUnion Roster and Activity ReportUse-Or-Lose Leave ReportWork Years and PersonnelCosts ReportWorkforce AnalysisFORM AD-3100-R (Revised 9/18)

Retirement Processing Reports (ORG and/or POI required) T&A Reports (Employee Office and/or contact . Administrator Auditor (all agencies) Preparer-GB. Reviewer-GB HR Admin. webTA PAYCHECK8 . Agency Connect HR Admin . PACS44205 FCA FlexFund HCA/ DCA PACS46508 Thrift Plan Payment PATCO Profile By Occupational Series Paid Listing (Startup 17) .