Contractor Data Collection Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DOL-PIV-II Contract Employee Data Submission	Form and Instruction	New	Available
Supporting Statements_v2.2.doc	Supporting Statement A	Uploaded 2007-05-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
180340	Contract Employee Data Submission	Form and Instruction	New

ICR Details

OMB Control No: 1225-0085	ICR Reference No: 200705-1225-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOL/DM	Agency Tracking No:
Title: Contractor Data Collection Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 06/22/2007
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/11/2007
	Date Received in OIRA: 05/29/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2007	6 Months From Approved
Responses	5,000	0	0
Time Burden (Hours)	1,000	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The data collected will be used by (1) Contracting Officer Technical Representatives (COTRs) to sponsor contractor personnel in the PIV-II system; (2) DOL’s Office of Executive Resources and Personnel Security (OERPS) in order to initiate a background investigation for individuals who have not had one conducted previously or to confirm that a valid investigation has been conducted.

Emergency Justfication: Under Homeland Security Presidential Directive 12 (HSPD-12), federal agencies are required to comply with a standard for identification issued to Federal employees and contractors known as FIPS-201 Personal Identity Verification (PIV) of Federal Employees and Contractors. In order to comply with the directive and issue the new federal credential to contractor personnel, the DOL must collect certain data required for the creation of an applicant record in its Personal Identity Verification II (PIV-II) system and for issuance of the PIV-II badge. Without the collection of this data, the DOL will be unable to meet HSPD-12 program milestones per the guidance given under OMB m-05-24. In order to meet DOL HSPD-12 program goals the data being requested must be collected by July of 2007. This deadline for collecting the necessary data would not be met given the standard time necessary to approve the collection of this data under normal clearance procedures.

---

Authorizing Statute(s): US Code: 5 USC 1302,3301,3304,3328,8716,1104 Name of Law: Federal Administrative Procedures Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Contract Employee Data Submission	DOL-PIV-II	Contract Employee Data Submission

---

ICR Summary of Burden

table that charts list of burden

	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	5,000	0	0	5,000	0	0
Annual Time Burden (Hours)	1,000	0	0	1,000	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New collection of information implemented in response to HSPD-12 Federal employee and contractor credentialing standards.

---

Annual Cost to Federal Government: $250

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/29/2007

---