FBI Questionnaire for National Security Positions

ICR 200403-1110-002

OMB: 1110-0041

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
11848 Migrated
ICR Details
1110-0041 200403-1110-002
Historical Active
DOJ/FBI
FBI Questionnaire for National Security Positions
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/30/2004
Retrieve Notice of Action (NOA) 03/17/2004
  Inventory as of this Action Requested Previously Approved
07/31/2007 07/31/2007
50,000 0 0
25,000 0 0
0 0 0

To determine suitability and the granting or denying of security clearances, the FBI will use Standard Form 86 in addition to the new supplemental Form FD-957 to collect collateral information provided by applicants for FBI employment.

None
None


No

1
IC Title Form No. Form Name
FBI Questionnaire for National Security Positions FD-957

  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 50,000 0 0 50,000 0 0
Annual Time Burden (Hours) 25,000 0 0 25,000 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.
03/17/2004


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