Information Collection

Personnel Security Clearance Change Notification

IC 5509 under ICR 201101-0704-003 · OMB 0704-0418.

Documents and Forms

Document Name Document Type
Form DISCO Form 562 Personnel Security Clearance Change Notification Form
DISCO Form 562 Personnel Security Clearance Change Notification DISCO Form 562.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Personnel Security Clearance Change Notification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DISCO Form 562	Personnel Security Clearance Change Notification	DISCO Form 562.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: V5-05 Joint Personnel Adjudication System (JPAS)	FR Citation: 70 FR 38120

Number of Respondents: 11,290	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 93 %

	Approved	Previously Approved
Annual Number of Responses for this IC	225,800	225,800
Annual IC Time Burden (Hours)	45,160	45,160
Annual IC Cost Burden (Dollars)	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.