PERSONNEL SECURITY CLEARANCE CHANGE NOTIFICATION

ICR 198703-0704-006

OMB: 0704-0275

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
109047 Migrated
ICR Details
0704-0275 198703-0704-006
Historical Active
DOD/DODDEP
PERSONNEL SECURITY CLEARANCE CHANGE NOTIFICATION
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/05/1987
Retrieve Notice of Action (NOA) 03/11/1987
  Inventory as of this Action Requested Previously Approved
04/30/1990 04/30/1990
187,500 0 0
37,700 0 0
0 0 0

THE INFORMATION IS REQUIRED TO MAKE NECESSARY CHANGES IN OFFICIAL DOD RECORDS PERTAINING TO CLEARED PERSONNEL, E.G., CHANGE OF NAME, EMPLOYMENT TRANSFERS OR TERMINATION, ETC.

None
None


No

1
IC Title Form No. Form Name
PERSONNEL SECURITY CLEARANCE CHANGE NOTIFICATION 562

  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 187,500 0 0 187,500 0 0
Annual Time Burden (Hours) 37,700 0 0 37,700 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.
03/11/1987


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