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

Forms and Documents

Document	Type	Status	Availability
Form SF-85P Questionnaire for National Security Positions	Form and Instruction	Modified	Available
Signed - OMB 83-i_107437.pdf	Supplementary Document	Uploaded 2009-01-02	Repair queued
Federal Register SF86.doc	Supplementary Document	Uploaded 2008-12-31	Available
Supp Statement 30FRN_DMS4 2 _107358.DOC	Supporting Statement A	Uploaded 2009-01-02	Repair queued
Change Request Justification_v6_DMS[1].DOC	Justification for No Material/Nonsubstantive Change	Uploaded 2008-01-09	Repair queued
SF86 11-16-07.pdf	Supplementary Document	Uploaded 2008-01-09	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
44214	Questionnaire for National Security Positions	Form and Instruction	Modified

ICR Details

OMB Control No: 3206-0005	ICR Reference No: 200812-3206-002
Status: Historical Active	Previous ICR Reference No: 200801-3206-002
Agency/Subagency: OPM	Agency Tracking No:
Title: Questionnaires and Supplemental Form for National Security, Public Trust, and Non-sensitive Positions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/20/2009
	Date Received in OIRA: 12/31/2008
Terms of Clearance: The revisions proposed in the December 31, 2008 Information Collection Request for OMB Control Number 3206-0005 are not approved. Per the letter from OPM Acting Director Kathie Anne Whipple to OMB Director Peter Orszag, dated 2/18/09, OMB is approving for a period of one year the 3206-0005 collection in the version previously approved, in order to provide the current Administration’s officials at OPM and other concerned agencies the opportunity to review the collection and propose revisions as necessary based on their review. The previous terms of clearance remain in effect. Six months before the expiration of this approval, OPM must provide OMB a status report of the review.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2010	36 Months From Approved	02/28/2009
Responses	21,800	0	276,200
Time Burden (Hours)	28,904	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
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 35421	06/23/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 80445	12/31/2008
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Questionnaire for National Security Positions	SF-86A, SF-86C, E-QIP, SF-85P (EQIP), SF-86 (EQIP), SF-86, SF-85P, SF-85, SF-85 (EQIP), e-QIP, e-QIP, SF-85PS	Questionnaire for Public Trust Positions ,   Questionnaire for Non-Sensitive and Low Risk Positions ,   Questionnaire for National Security Positions ,   Supplemental Questionnaire for Selected Positions ,   SF-85P Template for the EQIP Screen ,   SF-86 Template for the EQIP Screen ,   SF-85 Template for the EQIP Screen ,   Continuation Sheet For Questionnaires SF 85, SF 85P and SF 86 ,   SF 86 Certification ,   Login ,   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	21,800	276,200	0	-254,400	0	0
Annual Time Burden (Hours)	28,904	366,200	0	-337,296	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: 12/31/2008

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