Form H1866, Federal Tax Information Visitor Access Log

Instructions for Opening a Form

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Effective Date
05/2021
H1866.pdf (83.58 KB)
H1866-S.pdf (1.15 MB)

Instructions

Updated 5/2021
 

Purpose

To capture required visitor information for people entering restricted or secure agency areas containing federal tax information (FTI). 

Procedure

Health and Human Services (HHS) field offices, headquarters, computer facilities, and data centers complete the form to record information of visitors entering and exiting secured or restricted agency areas containing FTI.


Detailed Instructions

Office Type: Enter the applicable office type

  • Field office
  • Computer facilities
  • Consolidated data centers
  • Headquarters

Division: Enter the applicable HHS division

Mail Code: Enter the HHS mail code 

Note: HHS management or designated agency security personnel reviews the program area’s FTI Authorized Access List (AAL) before the person signing the FTI Visitor Access Log.

The Internal Revenue Service (IRS) requires HHS to: 

  • verify the person signing the FTI Visitor Access Log is authorized to access the secured or restricted area containing FTI; and
  • confirm the person’s agency, department or vendor organization point of contact information.

Entry Date: Enter date of visit

Visitor Name and Organization: Enter person’s first name, last name and organization

Form of Identification: Enter type of ID used to verify identity. (i.e.- driver’s license, state issued ID, HHSC ID, etc.)

Visit Purpose: Enter visit purpose

Name of Person Visited and Organization: Enter name of person visited and organization

Entry Time: Enter entry time

Departure Time: Enter departure time

Visitor Signature: Enter visitor’s signature