Information Collection

Personnel Security Investigation Projection for Industry Survey (DSS Form 232)

IC 5507 under ICR 200808-0704-006 · OMB 0704-0417.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0417 can be found here:

Documents and Forms

Document Name Document Type
Form DSS Form 232 Personnel Security Investigation Projection for Industry Survey (DSS Form 232) Form
DSS Form 232 Personnel Security Investigation Projection for Industry Survey Screenshots DSSForm232 OMB CN0704 0417 rev17oct.pdf Form
01 FW Survey Comments from Michelle.doc 01 FW Survey Comments from Michelle IC Document
02 PSI Survey of Industry Team Initial-Intro Teleconference.doc 02 PSI Survey of Industry Team Initial-Intro Teleconference IC Document
03 Survey LM Feedback.doc 03 Survey LM Feedback IC Document
04 Internal Test survey Dec 4th.doc 04 Internal Test survey Dec 4th IC Document
05 Example Web Post.JPG 05 Example Web Post IC Document
06 aUpdate 30 JAN to ISP (4).pdf 06 aUpdate 30 JAN to ISP (4) IC Document
06a Update PSI Survey Actions-Changes (31 JAN).doc 06a Update PSI Survey Actions-Changes (31 JAN) IC Document
06b Update Attachment 30 JAN to ISP (4).pdf 06b Update Attachment 30 JAN to ISP (4) IC Document
07 Web posting 25 FEB to FSOs re survey(final) (2).pdf 07 Web posting 25 FEB to FSOs re survey(final) (2) IC Document
08 Web Posting for PSI Survey attached--approved.doc 08 Web Posting for PSI Survey attached--approved IC Document
08a Web posting 25 FEB to FSOs re survey(final) (2).pdf 08a Web posting 25 FEB to FSOs re survey(final) (2) IC Document
08b Survey design February.doc 08b Survey design February IC Document
09 DSS PSI Survey PreDeployment Contact Validation Mar 20.doc 09 DSS PSI Survey PreDeployment Contact Validation Mar 20 IC Document
10 DSS PSI Survey Initial Invite.doc 10 DSS PSI Survey Initial Invite IC Document
11 DSS PSI Survey First Reminder.doc 11 DSS PSI Survey First Reminder IC Document
12 DSS PSI Survey Second Reminder.doc 12 DSS PSI Survey Second Reminder IC Document
13 DSS PSI Survey Third Reminder.doc 13 DSS PSI Survey Third Reminder IC Document
14 Update2 to Industry Associations-NISPPAC PSI Survey FIRST Reminder.doc 14 Update2 to Industry Associations-NISPPAC PSI Survey FIRST Reminder IC Document
15 Survey results final WEB posting.doc 15 Survey results final WEB posting IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Personnel Security Investigation Projection for Industry Survey (DSS Form 232)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DSS Form 232	Personnel Security Investigation Projection for Industry Survey	Survey Screenshots DSSForm232 OMB CN0704 0417 rev17oct.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	12,150	33	12,117
Annual IC Time Burden (Hours)	16,200	44	16,156
Annual IC Cost Burden (Dollars)	532,656	-436,344	969,000

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.