Mail Reinterview Form

Forms and Documents

Document Name	Status
Form INV 10 Mail Reinterview Form Form and Instruction	Modified
30 day notice.pdf Supplementary Document	2009-04-08
60 Day Notice.pdf Supplementary Document	2009-04-08
SSA3206-0106 for 10APR09_112331_OMBfinal.DOC Supporting Statement A	2009-04-10

IC Document Collections

IC ID	Document Title	Status
33582	Mail Reinterview Form Form and Instruction	Modified

ICR Details

OMB Control No: 3206-0106	ICR Reference No: 200901-3206-002
Status: Historical Active	Previous ICR Reference No: 200503-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: Mail Reinterview Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/20/2009
	Date Received in OIRA: 01/30/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved	04/30/2009
Responses	50,000	0	5,600
Time Burden (Hours)	5,000	0	560
Cost Burden (Dollars)	0	0	0

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Abstract: To provide feedback and ensure the accuracy, integrity, and professionalism of investigators assigned to perform background investigations on behalf of the Office of Personnel Management (OPM).

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Authorizing Statute(s): EO: EO 10450 Name/Subject of EO: null
   EO: EO 12968 Name/Subject of EO: null
  

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 34965	06/19/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 78398	12/22/2008
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
Mail Reinterview Form	INV 10, INV 10	Mail Reinterview Form Letter ,   Mail Reinterview Form

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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	50,000	5,600	0	44,400	0	0
Annual Time Burden (Hours)	5,000	560	0	4,440	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: Originally this ICR was submitted as an extension without change, when in fact the number of respondents went from 5,600 to 50,000 due to the increase in background investigation between 2005 and 2008, and based on the actual review of respondents between the previous collection approval and this submission.

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Annual Cost to Federal Government: $47,018

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)? No

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: 01/30/2009

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