Supplemental Investigative Data

Forms and Documents

Document Name	Status
Form SSF 86A Supplemental Investigative Data Form and Instruction	Modified
86a-SUPP09.doc Supporting Statement A	2009-10-09
ssf86A.pdf Supplementary Document	2009-09-18
30_day_FR Notice.pdf Supplementary Document	2009-09-18
60_day_FR Notice.pdf Supplementary Document	2009-09-18
Title 18_1001.pdf Supplementary Document	2006-08-25
Title 31.pdf Supplementary Document	2006-08-25
Treasury Directive 71-10.pdf Supplementary Document	2006-08-25
EO 12333.pdf Supplementary Document	2006-08-25
EO 12958.pdf Supplementary Document	2006-08-25
EO 12968.pdf Supplementary Document	2006-08-25
EO 10450.pdf Supplementary Document	2006-08-25
Title 18_3056.pdf Supplementary Document	2006-08-25
Title 5_552.pdf Supplementary Document	2006-08-25
5 USC Authority301.pdf Supplementary Document	2006-08-25

IC Document Collections

IC ID	Document Title	Status
20434	Supplemental Investigative Data Form and Instruction	Modified

ICR Details

OMB Control No: 1620-0001	ICR Reference No: 200909-1620-001
Status: Historical Active	Previous ICR Reference No: 200608-1620-003
Agency/Subagency: DHS/USSS	Agency Tracking No:
Title: Supplemental Investigative Data
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/05/2010
	Date Received in OIRA: 10/15/2009
Terms of Clearance: This collection is approved for a year only. With the resubmission of this package, Secret Service should work with OPM and the Suitability and Security Clearance Performance Accountability Council (PAC) to ensure this collection mirrors current thinking on revisions to OPM’s SF 86.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2011	36 Months From Approved	01/31/2010
Responses	10,000	0	10,000
Time Burden (Hours)	30,000	0	30,000
Cost Burden (Dollars)	0	0	0

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Abstract: All Secret Service employees require a Top Secret clearance, and over 60% require Sensitive Compartmented Information (SCI) Access. Because of this requirement, the Secret Service conducts a more extensive background investigation than the standard Office of Personnel Management regulated Single-Scope Background Investigation (SSBI) required for the granting of a Top Secret clearance. Secret Service Form (SSF) 86A, Supplemental Investigative Data, which is completed during the application process, provides additional information to the data collected from SF 86, Questionnaire for National Security Positions to aide in granting a Top Secret clearance.

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Authorizing Statute(s): US Code: 18 USC 3056 Name of Law: Powers, Authorities, and duties of United States Secret Service
   US Code: 5 USC 301 Name of Law: Departmental Regulations
   EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employees
   EO: EO 12333 Name/Subject of EO: United States Intelligence Activities
   EO: EO 12958 Name/Subject of EO: Classified National Security Information
   EO: EO 12968 Name/Subject of EO: Access to Classified Information
   US Code: 5 USC 552 Name of Law: Public Information; Agency Rules, Opinions, Orders, Records, and Proceedings
   US Code: 18 USC 1001 Name of Law: Statements of entries generally
  

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:
	74 FR 28941	06/16/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 47015	09/14/2009
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
Supplemental Investigative Data	SSF 86A	Supplemental Investigative Data

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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	10,000	10,000	0	0	0	0
Annual Time Burden (Hours)	30,000	30,000	0	0	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)? 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: 10/15/2009

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