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

Forms and Documents

Document Name	Status
current SF86[1].pdf Supplementary Document	2010-03-10
SF 86 Final for Sep 09 30-day-Fed Register Notice.pdf Supplementary Document	2010-03-10
SF86_OPMtoOMB_FINAL_02042010.pdf Supplementary Document	2010-02-04
published 30 day notice December 2008.pdf Supplementary Document	2009-12-22
60 day notice june 2008.pdf Supplementary Document	2009-12-22
published SF86 Sept302009.pdf Supplementary Document	2009-12-22
SF 85-86 supporting statement.doc Supporting Statement A	2010-05-03

IC Document Collections

IC ID	Document Title	Status
44214	Questionnaire for National Security Positions Instruction	Modified

ICR Details

OMB Control No: 3206-0005	ICR Reference No: 200912-3206-001
Status: Historical Active	Previous ICR Reference No: 200812-3206-002
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: 03/11/2010
	Date Received in OIRA: 12/22/2009
Terms of Clearance: This collection is approved based on the revised materials provided by OPM.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	36 Months From Approved	05/31/2010
Responses	168,200	0	21,800
Time Burden (Hours)	386,860	0	28,904
Cost Burden (Dollars)	0	0	0

---

Abstract: Due to the continuing consultation with Executive, congressional and federal agencies, OPM is requesting an extension of this collection. On December 31, 2008, OPM submitted a request to OMB and published a 30-day notice to revise information collection 3206-0005, a suite of forms including the SF 85, SF85P, SF85PS, SF 86, SF 86A, and SF 86C, including electronic (e-Qip) versions of the questionnaires. On February 18, 2009, the Acting Director of OPM requested permission to withdraw the 30-day notice and allow OPM to continue to use the forms currently in use to permit the new Administration to review the proposed changes. In a Notice of Approval dated February 20, 2009, OMB permitted OPM to continue to employ the forms currently in use for one year. OMB and OPM have since engaged in extensive interagency discussions about what changes should be made to the forms. In the course of this discussion it was agreed that the SF86 would take precedence and be cleared separately from the other forms, because the SF 86 is used to process information needed to determine eligibility for access to classified information, and because is the most comprehensive of the forms, with certain questions and instructions cascading down to the other forms. In response to a September 30, 2009 30-day notice, OPM and OMB received hundreds of comments. The work resulting from the separate clearance of the SF 86, and the processing of the comments received, has impacted OMB’s clearance of the SF 86 and OPM’s ability to issue timely notices for the other forms. Further, even after the revised information collections are cleared, the prior versions of the forms must remain available while automated versions of the revised forms are programmed.

---

Authorizing Statute(s): US Code: 5 USC 3301 Name of Law: Title 5: Government Organization and Employees
   US Code: 5 USC 3302 Name of Law: Title 5: Government Organization and Employees
   US Code: 5 USC 7312 Name of Law: Title 5: Government Organization and Employees
   EO: EO 12968 Name/Subject of EO: Access to Classified Information
  

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 35421	06/23/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 50260	09/30/2009
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
Questionnaire for National Security Positions	SF-86, SF 86, e-QIP, SF-86C, E-QIP, SF-85PS, SF-85, SF-86A, e-QIP, SF-85P (EQIP), SF-86 (EQIP), SF-85 (EQIP), SF-85P	SF 85PS Screens ,   Supplemental Questionnaire for Selected Positions ,   SF-85 Template for the EQIP Screen ,   SF 86 Certification ,   Login ,   Questionnaire for Public Trust Positions ,   Questionnaire for National Security Positions ,   Continuation Sheet For Questionnaires SF 85, SF 85P and SF 86 ,   SF-85P Template for the EQIP Screen ,   SF-86 Template for the EQIP Screen ,   Investigation Request Certificaton & Release Screens ,   Questionnaire for Non-Sensitive and Low Risk Positions

---

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	168,200	21,800	0	146,400	0	0
Annual Time Burden (Hours)	386,860	28,904	0	357,956	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: As a result of reforms to investigative processes, this collection reflects all burden hours for the SF 85, SF85p and SF 86.

---

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

---

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: 12/22/2009

---