Fingerprint Charts

Forms and Documents

Document Name	Status
Form SF 87 and SF 87A Fingerprint Charts Form and Instruction	Modified
Cost of Fingerprinting in the 50 States.doc Supplementary Document	2009-06-11
NRCS Letter 4-29-09.pdf Supplementary Document	2009-06-01
Supporting Statement for 3206-0150_July_1_2009.DOC Supporting Statement A	2009-07-01
published 30 day.pdf Supplementary Document	2009-04-15
published 60 day.pdf Supplementary Document	2009-04-15
83-I_106581_23Mar09_111655.pdf Supplementary Document	2009-04-15

IC Document Collections

IC ID	Document Title	Status
33624	Fingerprint Charts Form and Instruction	Modified

ICR Details

OMB Control No: 3206-0150	ICR Reference No: 200904-3206-004
Status: Historical Active	Previous ICR Reference No: 200502-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: Fingerprint Charts
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: 07/01/2009
	Date Received in OIRA: 04/17/2009
Terms of Clearance: OPM has estimated the annual cost burden of this information collection for the first time, based on the data they have available. They should re-visit this estimate prior to its renewal in 2012 to ensure that it accurately reflects the number of people who incur a cost for submitting their fingerprints to federal agencies and the total cost per annum.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2012	36 Months From Approved	06/30/2009
Responses	196,540	0	363,500
Time Burden (Hours)	16,378	0	28,630
Cost Burden (Dollars)	0	0	0

---

Abstract: Completed by applicants as the basis of a criminal history check to establish that an individual is suitable for Federal employment or should be granted a security clearance. 1. Executive Order 10450, as amended, requires that investigations be conducted on all persons entering Federal service. E.O. 10450, as amended, also requires that each investigation include a check of the Federal Bureau of Investigation’s (FBI) fingerprint files to identify any criminal records on the subject. Although roughly 60% of all submissions are received electronically, the need remains to conduct checks based on hardcopy requests. The Standard Form (SF) 87 and SF 87A are fingerprint charts submitted to the FBI in order to fulfill that part of the background investigation.

---

Authorizing Statute(s): EO: EO 10450 Name/Subject of EO: SECURITY REQUIREMENTS FOR GOVERNMENT EMPLOYMENT
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 35422	06/23/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 17235	04/14/2009
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
Fingerprint Charts	SF 87 and SF 87A	Fingerprint Chart

---

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	196,540	363,500	0	-166,960	0	0
Annual Time Burden (Hours)	16,378	28,630	0	-12,252	0	0
Annual Cost Burden (Dollars)	0	0	0	-2,093,151	2,093,151	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The reported burden hours for these forms has decreased from the previous notice. The previous 30-day notice was based on numbers from several years ago and the methodology used is not clear, in terms of Federal and non-Federal respondents. In order to be report estimates in line with more recent timelines, for this notice we used Federal Employment statistics to determine Federal Accessions for FY 2008. The decision to use these particular statistics was based on the point in the hiring process in which applicants (non-Federal respondents) complete the SF 87 or SF 87A, which is after a tentative offer has been made, but before the applicant becomes a Federal employee

---

Annual Cost to Federal Government: $145,311

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

---

Common Form ICR:  No

---

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: 04/17/2009

---