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pdfDefense Security Service (DSS)
Personnel Security Investigations (PSI) - Projected
Requirements Survey
OMB No.: 0704-0417 Expiration Date: (TBD), 2011
The public reporting burden for this collection of information is estimated to average 80
minutes per response for a single active, cleared facility submission, including the time
for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, and completing and reviewing the collection of information. Facilities
submitting a consolidated submission of multiple active, cleared facilities may
experience a longer reporting burden.
Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing the burden to: Department of Defense,
Washington Headquarters Service, Directorate for Information Operations and
Reports, (0704-0417), 1777 North Kent Street, Suite 11000, Arlington, VA 22209.
Respondents should be aware that notwithstanding any other provision of law, no
person shall be subject to any penalty for failing to comply if a valid OMB control
number is not displayed.
PRIVACY ACT ADVISEMENT: Name and email information is requested for the purpose of validating
Facility Security Officer (FSO) contact information for the Defense Security Service records. Updates to name
and email information will be provided to the appropriate Industrial Security Representative. The information
provided will become part of DSS records of cleared contractor facility surveys, retrieved by the name of the
cleared contractor facility / CAGE Code, not the FSO. Providing the requested name and email information on
this survey is voluntary. AUTHORITY: Executive Order (EO) 12829, “National Industrial Security Program”.
FREEDOM OF INFORMATION ACT (FOIA) ADVISEMENT: Responses provided by a
respondent with respect to the number of individuals projected to be submitted for personnel security
investigations (PSIs) for clearances may be exempt from release under the Freedom of Information Act (FOIA),
exemptions 2 and 4. Prior to releasing information that identifies a respondent to entities other than U.S.
Government agencies for official purposes, DSS will obtain and consider the respondent’s views regarding
release of the information.
Survey Introduction:
Personnel Security Investigations (PSIs) for contractor clearances are centrally funded
by the Department of Defense to Defense Security Service under the auspices of the
National Industrial Security Program (NISP) for DoD or one of the 23 Non-DoD
agencies who have entered into an agreement with the Secretary of Defense (NISPOM
paragraph 1-103b). These PSIs for contractor clearances are submitted through the
Defense Industrial Security Clearance Office (DISCO).
Please read all the instructions and follow the prompts to submit your Personnel
Security Investigations (PSI) Projected Requirements Survey to Defense Security
Service.
If you received this survey email invitation, Defense Security Service records indicate
that you are the Facility Security Officer for a specific cleared facility or have recently
indicated that you are the proper point of contact to complete this survey.
General Information:
This survey has three Sections (A, B, and C) as described in the following pages.
If you right click on any page of the survey, you may select to print that page for your
reference.
CLICK HERE FOR GLOSSARY
Section A Description:
This first section will provide you with the opportunity to review and confirm the Facility
Security Officer's (FSO) or pre-designated survey contact's name and email address
as well as the CAGE Code of this cleared facility as shown in DSS records.
If you received this survey, DSS records indicate that you are the Facility Security
Officer for a specific cleared facility or you have indicated ahead of time that you are
the correct point of contact to complete this survey.
CLICK HERE FOR GLOSSARY
Section B Description:
The Personnel Security Investigations (PSIs) for clearances are centrally funded by the
Department of Defense to Defense Security Service under the auspices of the National
Industrial Security Program (NISP) for DoD or one of the 23 Non-DoD agencies who
have entered into an agreement with the Secretary of Defense (NISPOM paragraph 1103). These PSIs for contractor clearances are submitted through the Defense
Industrial Security Clearance Office (DISCO).
In Section B of the survey you will be asked to provide your total
PSI for clearance projections in total for DoD and Non-DoD
agencies.
You will provide your total projections for DoD and Non-DoD
agencies and then select from a list the agencies that are requiring
the clearances for fiscal years 2010-2012. For each fiscal year, you
will be asked to provide numbers for Single-Scope Background
Investigation (Top Secret), SSBI Periodic Re-investigation, NACLC
(Secret and Confidential), and NACLC Periodic Re-investigation.
Note - If you have an employee who works under multiple cleared contracts who will
require a PSI for a clearance, you should only count them once and toward their
primary contracting activity (either DoD or Non-DoD). Do not "double count".
CLICK HERE FOR GLOSSARY
Section C Description:
This final section of the survey will provide you with an opportunity to input general
comments or comments for a specific fiscal year (2010-2012, Oct 1 to Sep 30).
Do not submit classified information. Contact your Defense Security Service
Industrial Security Representative to resolve how to submit classified information if you
believe it is essential to your facility's survey response.
CLICK HERE FOR GLOSSARY
Section A:
Review the DSS record data below for your cleared facility. You will then be asked to
separately confirm the Facility Security Officer (FSO), FSO email address and CAGE
Code of this cleared facility.
Any comments other than corrections to these data points may be provided in the
Comments section at the end of this survey.
You will also then be asked if you are submitting a consolidated survey response for
more than one active, cleared facility's CAGE Code or submitting for only one active,
cleared CAGE Code.
Facility Name: Doe Corporation
Contact Information from DSS Records
Facility Security Officer or Survey Contact: John Doe
FSO/Contact email address: [email protected]
CAGE Code: 12345
CLICK HERE FOR GLOSSARY
Will John Doe ([email protected]) be the one completing this survey for CAGE
Code 12345?
(Goes to A1)
Yes, and my listed information above is correct.
Yes, but my listed name and/or email need to be corrected.
(Goes to A2)
No. I am one of John Doe 's associates and will be completing
(Goes to A3)
the input for Cage Code 12345
No. John Doe is a former FSO for CAGE Code 12345
(Goes to A4)
(Goes to A5)
12345 is not the correct CAGE Code for this facility.
CLICK HERE FOR GLOSSARY
(A4)
You indicated that John Doe is no longer the FSO for CAGE Code 12345 .
Please provide the name of the correct FSO by entering the Last name only in the first
block and then First name (with middle initial/name, if used) only in the second block.
Then, please provide their email address.
Last Name:
___Doe_______________
First Name: (If including a middle initial/name,
___Jane_______________
put a space and then the middle initial or name)
Email address:
[email protected]__
CLICK HERE FOR GLOSSARY
You provided your following information as the FSO for CAGE Code 12345. Does this
look correct?
Name : Jane - Doe
Email : [email protected]
YES, the above information is all correct.
If the above is not correct please select the "Back" button, correct the information in
the previous question, and press "Next" to return to this confirmation.
CLICK HERE FOR GLOSSARY
Will this corrected FSO – Jane Doe ([email protected]) - be the one completing
this survey for CAGE Code 12345?
Yes, and my listed information above is correct.
(Goes to A1)
No. I am one of Jane Doe 's associates and will be
completing the input for Cage Code 12345
(Goes to A3)
CLICK HERE FOR GLOSSARY
(A3)
You indicated that you are completing the survey on behalf of the FSO for CAGE Code
12345 .
Please provide your name by entering the Last name only in the first block and then
First name (with middle initial/name, if used) only in the second block. Then, please
provide your email address and relation to the FSO for CAGE Code 12345.
Last Name:
___Doe_______________
First Name: (If including a middle initial/name,
___Jim________________
put a space and then the middle initial or name)
Email address:
[email protected]__
Relation to FSO:
___Deputy______________
CLICK HERE FOR GLOSSARY
You provided your following information. Does this look correct?
Name : Jim Doe
Email : [email protected]
Relation to FSO : Deputy
YES, the above information is all correct.
(Goes to A1)
If the above is not correct please select the "Back" button, correct the information in
the previous question, and press "Next" to return to this confirmation.
CLICK HERE FOR GLOSSARY
(A2)
Is this the correct Facility Security Officer (FSO) or survey contact name?
FSO: John Doe
Yes (Name is correct)
No (Name is not correct.)
CLICK HERE FOR GLOSSARY
You indicated that the Facility Security Officer (FSO) or survey contact name is
not correct. Please provide the correct name by entering the Last name only in
the first block and then First name (with middle initial/name, if used) only in the
second block.
Last Name:
___Doe_______________
First Name: (If including a middle initial/name,
put a space and then the middle initial or name)
___Jim________________
CLICK HERE FOR GLOSSARY
You provided the following Last name and First name (with middle initial, as
applicable) as corrections for the Facility Security Officer name. Does this look
correct?
Doe, Jim
YES, the corrections to the name are correct.
If the above is not correct please select the "Back" button below, correct the Last name
and/or First name for the FSO for the previous question, and press "Next" to return to
this confirmation.
CLICK HERE FOR GLOSSARY
Is the Facility Security Officer / survey contact email address correct?
Email address: [email protected]
YES (the email address is correct)
NO (the email address is not correct)
CLICK HERE FOR GLOSSARY
You indicated that the FSO / contact email address is not correct. Please provide
the correct email address.
Correct Email address:
[email protected]
CLICK HERE FOR GLOSSARY
You provided the following email address as a correction to the data currently in
DSS files. Does this look correct?
[email protected]
YES, the email address is now correct.
If the above is not correct please select the "Back" button, correct the email address in
the previous question, and press "Next" to return to this confirmation.
CLICK HERE FOR GLOSSARY
(A1)
Is the CAGE Code correct?
Cage Code : 12345
Yes (CAGE Code is correct for this facility)
No (CAGE Code is not correct for this facility)
--- IMPORTANT NOTES --1- By selecting "No" you will be directed to the end of this survey and will be contacted
by DSS personnel via email for further clarification of this response.
2 - If you are submitting projection estimates for more than one active, cleared facility's
CAGE Code - if the above CAGE Code is one of yours, please select "Yes" and then
you will be given a chance to input the remaining CAGE Codes in the next question.
CLICK HERE FOR GLOSSARY
You were asked if the CAGE Code 12345 is correct for your cleared facility and you
have answered "No"
WARNING
By selecting "No" this will end the survey and you will not be able to change your
answer.
You will be directed to the end of this survey and will be contacted by DSS personnel
via email for further clarification of this response.
To verify - Is the following Cage Code correct for your cleared facility? : 12345
Yes (The CAGE Code is actually correct for this facility)
No (The CAGE Code is not correct for this facility)
CLICK HERE FOR GLOSSARY
Submission Type
Choose one of the following to indicate your type of submission:
A) SINGLE SUBMISSION / ONE CAGE CODE: I am submitting data for only one
active, cleared facility's CAGE Code.
B) CONSOLIDATED SUBMISSION: I am submitting one consolidated submission
for my company for multiple active, cleared facilities' CAGE Codes.
If you select Option B, the next question will ask you to list all the CAGE Codes that
are covered by your submission.
CLICK HERE FOR GLOSSARY
If you are the sender of a consolidated submission, list each of the CAGE Codes
for cleared facilities covered by these projections. Do not include CAGE Codes
for any uncleared or inactive facilities in your organization.
If you have provided a CAGE Code list to DSS by early email or via the March contact
validation, it will appear below. Please highlight the text, copy (Control+C), click in the
editing box below, paste (Control+V), make any needed changes, and click "Next" to
continue. Note, even if the list below is correct you must still paste it in the box below to
confirm and proceed.
(Cage Code list would be displayed here if users previously provided one)
If you do not see a list above, please type in your list of active, cleared CAGE Codes
you will be covering in your survey submission - use both a semicolon and a space (; )
to separate the individual CAGE Codes in your list.
CLICK HERE TO SEE AN EXAMPLE
CLICK HERE FOR GLOSSARY
You selected "Consolidated Submission" indicating that your survey covers
multiple cleared facilities' CAGE Codes for your company.
Below is the list you have provided, does this look correct?
(CAGE Code List the user provided in the previous question)
YES, the list of CAGE Codes is correct for my submission.
If the above is not correct please select the "Back" button, correct the CAGE Codes in
the previous question, and press "Next" to return to this confirmation.
CLICK HERE FOR GLOSSARY
Section B Instructions:
Please read the following overview of what you will see and be asked to provide in this
section.
PSIs for clearance projections:
The PSIs for clearances are centrally funded by the Department of Defense to Defense
Security Service under the auspices of the National Industrial Security Program (NISP)
for DoD or one of the 23 non-DoD agencies who have entered into an agreement with
the Secretary of Defense (NISPOM paragraph 1-103). These PSIs for contractor
clearances are submitted through the Defense Industrial Security Clearance Office
(DISCO).
Note: For every table you are asked to complete, you must enter at least the number
"zero" in each field of the table before the survey will let you proceed to the next
questions.
B-1. Methodology or Data Sources: Select from a list the methodology or type
of data source you used to determine your survey input for PSI projections.
B-2. DoD Projections Input: You will input your best numeric estimate by type of
personnel security investigation (PSI) required for security clearances for Department
of Defense (DoD) activities. These tables are for fiscal years 2010-2012 (October 1
through September 30). Below that, you will select from a list the DoD agencies that
are requiring these clearances.
B-3. Non-DoD Projections Input: Similar to the DoD Input, you will input your
best numeric estimate by type of personnel security investigation (PSI) required for
security clearances for Non-DoD activities. Below that, you will select from a list
the NISP Non-DoD agencies that are requiring these clearances.
B-4. Total PSI Requirements Review: You will then see an overall totals table
for all of your PSI projections for clearances based on data you have provided in this
survey.
---Have you reviewed the above instructions?-- I have reviewed the instructions for Section B.
CLICK HERE FOR GLOSSARY
SECTION B-1 - METHODOLOGY / DATA SOURCE
What methodology / data sources did you use to determine your PSI
projections?
Select all that apply:
Other
Average over a 3 year period
Average over a 5 year period
Current contracts requiring cleared personnel
Projected contracts requiring cleared personnel
Historical business data for this company
Projected or Strategic business plan data for this company
Human Resources / Personnel data
Statistical Modeling
CLICK HERE FOR GLOSSARY
If you selected "Other" as one of your methodologies for your numeric estimates
for PSIs, please describe your methodology.
CLICK HERE FOR GLOSSARY
SECTION B-2 - DOD DATA INPUT
Your projections for PSI requirements for clearance for DoD components should be
based on the list of components below the following table. Input your best numeric PSI
requirements estimate for clearances for each one by investigation type for fiscal years
2010, 2011 and 2012.
CLICK HERE TO SEE AN EXAMPLE
Single-Scope Background
Investigation (Top Secret)
SSBI Periodic
Reinvestigation
NACLC (Secret /
Confidential)
NACLC Periodic
Reinvestigation
2010
2011
2012
If the survey will not let you proceed, check to ensure that you have input at least the number
zero in each field of a table.
For your projections above, please select the DoD components which are requiring the
PSI for clearance.
Air Force,
Army,
Marine Corps,
Navy,
DARPA,
DCAA,
DCMA,
DIA,
DISA,
DLA,
DSCA,
DSS*,
DTRA,
MDA,
NATO,
NGA,
NSA,
OSD,
Other DoD (If you use this selection, please provide details in your
comments in Section C )
*Note – While DSS/DISCO receives and processes PSIs for clearances only select DSS if it is in fact
the DoD component that is directly requiring the investigation.
CLICK HERE FOR GLOSSARY
SECTION B-3 - NON-DOD DATA INPUT
Your projections for PSI requirements for clearance for Non-DoD components should
be based on the list of components below the following table. Input your best numeric
PSI requirements estimate for clearances for each one by investigation type for fiscal
years 2010, 2011 and 2012.
CLICK HERE TO SEE AN EXAMPLE
Single-Scope Background
Investigation (Top Secret)
SSBI Periodic
Reinvestigation
NACLC (Secret /
Confidential)
NACLC Periodic
Reinvestigation
2010
2011
2012
If the survey will not let you proceed, check to ensure that you have input at
least the number zero in each field of a table.
For your projections above, please select the Non-DoD agencies which are requiring the
PSI for clearance.
Dept of Agriculture,
Dept of Commerce,
Dept of Education,
Dept of Health and Human Services,
Dept of Homeland Security,
Dept of Interior,
Dept of Justice,
Dept of Labor,
Dept of State,
Dept of Transportation,
Dept of Treasury,
Environmental Protection Agency,
Federal Communications Commission,
Federal Reserve System,
Foreign Government,
Government Accountability Office,
General Services Administration,
National Aeronautics and Space Administration - NASA,
Nuclear Regulatory Commission,
National Science Foundation,
Small Business Administration,
U.S. Agency for International Development,
U.S. International Trade Commission,
U.S. Trade Representative
CLICK HERE FOR GLOSSARY
SECTION B-4 - TOTAL PSI REQUIREMENTS
Based on your input in the previous sections the below chart lists your total PSI
requirement projections for clearances for your DoD and non-DoD contracts / activities.
(Note - these numbers appear "grayed out" to indicate that they cannot be changed directly on this
page)
DoD PSI Projections
Single-Scope Background
Investigation (Top Secret)
SSBI Periodic
Reinvestigation
NACLC (Secret /
Confidential)
NACLC Periodic
Reinvestigation
SSBI Periodic
Reinvestigation
NACLC (Secret /
Confidential)
NACLC Periodic
Reinvestigation
SSBI Periodic
Reinvestigation
NACLC (Secret /
Confidential)
NACLC Periodic
Reinvestigation
2010
2011
2012
Non-DoD PSI Projections
Single-Scope Background
Investigation (Top Secret)
2010
2011
2012
Total PSI Projections
Single-Scope Background
Investigation (Top Secret)
2010
2011
2012
You have selected the following agencies as requiring the PSIs for clearances
above:
DoD: (A list of all DoD agencies the user selected would be shown here)
Non-DoD: (A list of all Non-DoD agencies the user selected would be shown here)
IF YOU NEED TO CORRECT THIS INFORMATION:
If this information does not look correct please hit the "Back" button at the bottom of the
screen to return to the previous pages and correct the data.
CLICK HERE FOR DETAILED INSTRUCTIONS
ON CORRECTING THE ABOVE INFORMATION
CLICK HERE FOR GLOSSARY
Section C: Comments
The comment section is free form text. You may add optional comments in general
about the survey and/or regarding a particular fiscal year.
Do not submit classified information. If you feel it is essential to pass along any
classified information pertaining to this survey please contact your Defense Security
Service Industrial Security Representative to resolve how to submit such information.
Survey Usability
On a scale of 1 to 10 with 1 being "Not user friendly" and 10 being "Very user friendly" - How
would you rate this year's survey usability?
1 2 3 4 5 6 7 8 9 10
Please Rate
○○○○○○○○○○
Time Approximately how long, in minutes, did it take you to complete this Survey (including data
collection) ?
Time (in minutes) :
Comments --If leaving a comment, please select the category type it falls under:
(If you have multiple comments that fall under more than one category please select "other")
Survey Design/Layout
Technical Issue
Projections Clarification
Other
No Comments
General Comments:
Comments concerning FY 2010
Comments concerning FY 2011
Comments concerning FY 2012
Copy of Input
--Please Click the Button Below-You will receive an email with the totals of your projections for PSIs for
clearances broken down for DoD, Non-DoD, the agencies requiring PSIs,
the Combined overall total projections, and any comments you provided.
Your DSS Industrial Security Representative will also receive a copy of
the email that you receive.
Send me an email with a copy of the information I provided as described
above.
NOTE - If the button above is not selected please click it. With the button
selected, click "Next" to be directed to the final page of the survey where
you will officially submit your input.
You are now at the end of the survey. Thank you for the time and effort you have taken
to complete this survey.
When you click the button below you will not be able to change or retract your
information.
----IMPORTANT---- To complete the survey process and submit your projections
please click the "Click Here To Submit" button below.
| File Type | application/pdf |
| File Title | FY2010 Survey Draft |
| Author | DSS |
| File Modified | 2008-10-17 |
| File Created | 2008-10-17 |