Information Collection

Defense Security Service Industrial Security Review Data and Defense Security Service Industrial Security Facility Clearance Survey Data

IC 5523 under ICR 201101-0704-005 · OMB 0704-0427.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0427 can be found here:

Documents and Forms

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Facility Survey			OMB 83 I Facility Survey.doc		No		Paper Only
Other-Security Review			OMB 83 I Security Review.doc		No		Paper Only

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: 13,872

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	13,872	13,872
Annual IC Time Burden (Hours)	43,521	43,521
Annual IC Cost Burden (Dollars)	3,229,334	3,229,334

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DoD 5220.22-M	nispom2006-5220 19.pdf	04/30/2007

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