Questionnaires and Supplemental Form for National Security, Public Trust, and Non-sensitive Positions

Forms and Documents

Document Name	Status
Form SF-85 Questionnaires and Supplemental Form for National Security, Public Trust, and Non-sensitive Positions Form	Modified
OMB Supporting Statement 30-day FRN2.doc Supporting Statement A	2008-01-09
Change Request Justification_v6_DMS[1].DOC Justification for No Material/Nonsubstantive Change	2008-01-09
SF86 11-16-07.pdf Supplementary Document	2008-01-09

IC Document Collections

IC ID	Document Title	Status
44214	Questionnaires and Supplemental Form for National Security, Public Trust, and Non-sensitive Positions Form	Modified

ICR Details

OMB Control No: 3206-0005	ICR Reference No: 200801-3206-002
Status: Historical Active	Previous ICR Reference No: 200605-3206-004
Agency/Subagency: OPM	Agency Tracking No:
Title: Questionnaires and Supplemental Form for National Security, Public Trust, and Non-sensitive Positions
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/08/2008
	Date Received in OIRA: 01/09/2008
Terms of Clearance: Pursuant to the Paperwork Reduction Act of 1995, OPM's Information Collection Request to amend its clearance of the SF 86 (OMB #3206-0005) is approved by OMB/OIRA as submitted, through September 30, 2008. OMB notes that the revised question 21 on the SF 86 was circulated widely for interagency review and that several agencies provided comments. To address concerns that some servicemen/women might forgo counseling to help them adjust from combat out of concern about disclosing that information on the SF 86, OMB is clearing OPM's request, consistent with OPM's agreement to consider issues raised by commenting agencies, informed by its implementation of this change. Upon resubmission of the collection for OMB review, OMB will ask that: (1) OPM provide its analysis and recommendations on interagency concerns, such as clarity of the change, impact on background investigations, reciprocity, suitability, and appropriateness of other options. (2) OPM have consulted with commenting agencies in reaching its determinations, including those with expertise in mental health issues In addition, when implementing this change, OPM will clarify for federal agencies that investigators conducting background investigations are not precluded from pursuing information regarding mental health counseling that is discovered during that process. Previous Terms of Clearance continue to apply.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2008	09/30/2008	09/30/2008
Responses	276,200	0	276,200
Time Burden (Hours)	366,200	0	366,200
Cost Burden (Dollars)	0	0	0

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Abstract: The forms are used to initiate national security and suitability investigations.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Questionnaires and Supplemental Form for National Security, Public Trust, and Non-sensitive Positions	SF-86, SF-85, SF-85P, SF-85PS, SF-86A, SF-86C, E-QIP, e-QIP, E-QIP, e-QIP, e-QIP, e-QIP	Questionnaire for Non-Sensitive Positions ,   Questionnaire for Public Trust Positions ,   Supplemental Questionnaire for Selected Positions ,   Questionnaire for National Security Positions ,   Continuation Sheet For Questionnaires SF 85, SF 85P and SF 86 ,   SF 86 Certification ,   Login ,   SF 86 Screens ,   SF 85 Screens ,   SF 85P Screens ,   SF 85PS Screens ,   Investigation Request Certificaton & Release Screens

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ICR Summary 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	276,200	276,200	0	0	0	0
Annual Time Burden (Hours)	366,200	366,200	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

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

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Common Form ICR:  No

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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: 01/09/2008

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