APPLICATION AND AUTHORIZATION FOR ACCESS TO CONFIDENTIAL INFORMATION INDUSTRIAL

ICR 198212-0704-005

OMB: 0704-0031

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0704-0031 198212-0704-005
Historical Active 197711-0704-007
DOD/DODDEP
APPLICATION AND AUTHORIZATION FOR ACCESS TO CONFIDENTIAL INFORMATION INDUSTRIAL
Revision of a currently approved collection   No
Regular
Approved without change 02/08/1983
Retrieve Notice of Action (NOA) 12/16/1982
  Inventory as of this Action Requested Previously Approved
12/31/1984 12/31/1984 12/31/1982
130,000 0 127,800
43,290 0 42,600
0 0 0

THIS FORM IS USED TO OBTAIN PERSONAL DATA FROM A U.S. CITIZEN BEING CONSIDERED FOR A CONFIDENTIAL PERSONNEL SECURITY CLEARANCE BY A CONTRACTOR. COMPLETION OF THIS FORM IS A PREREQUISITE TO THE GRANTING OF A CONFIDENTIAL CLEARANCE BY A CONTRACTOR.

None
None


No

1
IC Title Form No. Form Name
APPLICATION AND AUTHORIZATION FOR ACCESS TO CONFIDENTIAL INFORMATION INDUSTRIAL DD FORM 48-2

  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 130,000 127,800 0 0 2,200 0
Annual Time Burden (Hours) 43,290 42,600 0 0 690 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.
12/16/1982


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