Information Collection

Investigative Background Forms

IC 181471 under ICR 201009-1535-001 · OMB 1535-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0141 can be found here:

Documents and Forms

Document Name Document Type
Form PD F 5518 Investigative Background Forms Form and Instruction
PD F 5518 Investigative Request for Personal Information 5518.pdf Form and Instruction
PD F 5519 Investigative Request for Law Enforcement Data 5519.pdf Form and Instruction
PD F 5520 Investigative Request For Educational Registrar and Dean 5520.pdf Form and Instruction
PD F 5521 Investigative Request For Employment Data and Supervisor 5521.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Investigative Background Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PD F 5518	Investigative Request for Personal Information	5518.pdf	Yes	No	Printable Only
Form and Instruction	PD F 5519	Investigative Request for Law Enforcement Data	5519.pdf	Yes	No	Printable Only
Form and Instruction	PD F 5520	Investigative Request For Educational Registrar and Dean of Students Record Data	5520.pdf	Yes	No	Printable Only
Form and Instruction	PD F 5521	Investigative Request For Employment Data and Supervisor Information	5521.pdf	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,160	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,160	1,035	1,125
Annual IC Time Burden (Hours)	361	173	188
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.