PERSONNEL SECURITY QUESTIONNAIRE

ICR 197807-1901-001

OMB: 1901-0017

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
135714 Migrated
ICR Details
1901-0017 197807-1901-001
Historical Active 197708-1901-002
DOE/ENDEP
PERSONNEL SECURITY QUESTIONNAIRE
Extension without change of a currently approved collection   No
Regular
Approved without change 08/14/1978
Retrieve Notice of Action (NOA) 07/12/1978
  Inventory as of this Action Requested Previously Approved
07/31/1983 07/31/1983 07/31/1978
27,500 0 8,400
27,500 0 8,400
0 0 0

TO PROVIDE INFORMATION FOR THE MORE STRIGENT INVESTIGATIONS THAT ARE REQUIRED UNDER THE ATOMIC ENERGY ACT THAN THOSE REQUIRED FOR MOST OTHER FEDERAL AGENCIES.

None
None


No

1
IC Title Form No. Form Name
PERSONNEL SECURITY QUESTIONNAIRE DOE-1(PT. 1), DOE-1(PT. 11, DP-1, DP-1

  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 27,500 8,400 0 0 19,100 0
Annual Time Burden (Hours) 27,500 8,400 0 0 19,100 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
07/12/1978


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