PERSONNEL SECURITY QUESTIONNAIRE PERSONNEL SECURITY QUESTIONNAIRE (UPDATING)

ICR 198406-0704-003

OMB: 0704-0005

Federal Form Document

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ICR Details
0704-0005 198406-0704-003
Historical Active 198204-0704-004
DOD/DODDEP
PERSONNEL SECURITY QUESTIONNAIRE PERSONNEL SECURITY QUESTIONNAIRE (UPDATING)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/03/1984
Retrieve Notice of Action (NOA) 06/04/1984
  Inventory as of this Action Requested Previously Approved
04/30/1987 04/30/1987
168,000 0 0
82,000 0 0
0 0 0

FORMS USED TO OBTAIN PERSONAL DATA FROM U.S. CITIZEN BEING CONSIDERED FOR A DOD CONFIDENTIAL/SECRET PERSONNEL SECURITY CLEARANCE, OR AN OSE DETERMINATION AT THE CONFIDENTIAL/SECRET LEVEL, AND TO OBTAI CURRENT/UPDATED PERSONAL DATA TO PROCESS A CLEARANCE ACTION WHEN AN INDIVIDUAL WITH A SECURITY CLEARANCE IS TRANSFERRING EMPLOYMENT FROM O CONTRACTOR TO ANOTHER WITHIN A 12-MONTH PERIOD & REQUIRES A SECURITY CLEARANCE IN NEW EMPLOYMENT. ALSO USED ON CONVERTING A USER AGENCY....

None
None


No

1
IC Title Form No. Form Name
PERSONNEL SECURITY QUESTIONNAIRE PERSONNEL SECURITY QUESTIONNAIRE (UPDATING) DD 48, DD 48-3

  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 168,000 0 0 168,000 0 0
Annual Time Burden (Hours) 82,000 0 0 82,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
06/04/1984


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