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

Documents and Forms

Document Name Document Type
OMB 83 I Facility Survey.doc Other-Facility Survey
OMB 83 I Security Review.doc Other-Security Survey
nispom2006-5220 19.pdf DoD 5220.22-M IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Defense Security Service Industrial Security Review Data and Defense Security Service Industrial Security Facility Clearance Survey Data	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
Other-Facility Survey			OMB 83 I Facility Survey.doc		No		Paper Only
Other-Security Survey			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 %

	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

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.