Supplemental Investigative Data

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSF 86A Supplemental Investigative Data	Form and Instruction	Modified	Available
86a-SUPP10.doc	Supporting Statement A	Uploaded 2011-01-12	Available
non-duplication justification.docx	Supplementary Document	Uploaded 2011-01-12	Available
SSF86A.pdf	Supplementary Document	Uploaded 2011-01-12	Available
86A 60-Day FR Notice 10_8_10.pdf	Supplementary Document	Uploaded 2011-01-10	Available
86A 30-Day FR Notice 12_23_10.pdf	Supplementary Document	Uploaded 2011-01-10	Available
Title 18_1001.pdf	Supplementary Document	Uploaded 2006-08-25	Available
Title 31.pdf	Supplementary Document	Uploaded 2006-08-25	Available
Treasury Directive 71-10.pdf	Supplementary Document	Uploaded 2006-08-25	Available
EO 12333.pdf	Supplementary Document	Uploaded 2006-08-25	Available
EO 12958.pdf	Supplementary Document	Uploaded 2006-08-25	Available
EO 12968.pdf	Supplementary Document	Uploaded 2006-08-25	Available
EO 10450.pdf	Supplementary Document	Uploaded 2006-08-25	Available
Title 18_3056.pdf	Supplementary Document	Uploaded 2006-08-25	Available
Title 5_552.pdf	Supplementary Document	Uploaded 2006-08-25	Available
5 USC Authority301.pdf	Supplementary Document	Uploaded 2006-08-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20434	Supplemental Investigative Data	Form and Instruction	Modified

ICR Details

OMB Control No: 1620-0001	ICR Reference No: 201101-1620-001
Status: Historical Inactive	Previous ICR Reference No: 200909-1620-001
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OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 04/25/2011
	Date Received in OIRA: 01/13/2011
Terms of Clearance: DHS has requested to withdraw this collection request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2011	36 Months From Approved	04/30/2011
Responses	10,000	0	10,000
Time Burden (Hours)	30,000	0	30,000
Cost Burden (Dollars)	0	0	0

---

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.

---

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

---

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:
	75 FR 62409	10/08/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 80834	12/23/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Supplemental Investigative Data	SSF 86A	Supplemental Investigative Data

---

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:

---

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 01/13/2011

---