Questionnaires and Supplemental Form for National Security, Public Trust, and Non-sensitive Positions

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF-85 (EQIP) SF-85 Template for the EQIP Screen	Form and Instruction	Unchanged	Available
Form SF-86 (EQIP) SF-86 Template for the EQIP Screen	Form and Instruction	Unchanged	Available
Form SF-85P (EQIP) SF-85P Template for the EQIP Screen	Form and Instruction	Unchanged	Available
Form SF-85 Questionnaire for Non-Sensitive and Low Risk Positions	Form and Instruction	Unchanged	Available
Form SF-85P Questionnaire for Public Trust Positions	Form and Instruction	Unchanged	Available
Form SF-85PS Supplemental Questionnaire for Selected Positions	Form and Instruction	Unchanged	Repair queued
Form e-QIP Investigation Request Certificaton & Release Screens	Form and Instruction	Unchanged	Available
Form e-QIP SF 85PS Screens	Form and Instruction	Unchanged	Available
Form E-QIP Login	Form	Unchanged	Available
Form SF-86C SF 86 Certification	Form	Unchanged	Available
Form SF-86A Continuation Sheet For Questionnaires SF 85, SF 85P and SF 86	Form	Unchanged	Available
Form SF 86 Questionnaire for National Security Positions	Form and Instruction	Unchanged	Available
JUSTIFICATION FOR NO MATERIALchange 3206-0005_LL.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2011-06-30	Available
mockup sf86.pdf	Supplementary Document	Uploaded 2011-06-30	Available
current SF86[1].pdf	Supplementary Document	Uploaded 2010-03-10	Available
SF 86 Final for Sep 09 30-day-Fed Register Notice.pdf	Supplementary Document	Uploaded 2010-03-10	Available
SF86_OPMtoOMB_FINAL_02042010.pdf	Supplementary Document	Uploaded 2010-02-04	Available
published 30 day notice December 2008.pdf	Supplementary Document	Uploaded 2009-12-22	Available
60 day notice june 2008.pdf	Supplementary Document	Uploaded 2009-12-22	Available
published SF86 Sept302009.pdf	Supplementary Document	Uploaded 2009-12-22	Available
SF 85-86 supporting statement.doc	Supporting Statement A	Uploaded 2010-05-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
44214	Questionnaire for National Security Positions	Form and Instruction	Unchanged	SF-85 Template for the EQIP Screen
44214	Questionnaire for National Security Positions	Form and Instruction	Unchanged	SF-86 Template for the EQIP Screen
44214	Questionnaire for National Security Positions	Form and Instruction	Unchanged	SF-85P Template for the EQIP Screen
44214	Questionnaire for National Security Positions	Form and Instruction	Unchanged	Questionnaire for Non-Sensitive and Low Risk Positions
44214	Questionnaire for National Security Positions	Form and Instruction	Unchanged	Questionnaire for Public Trust Positions
44214	Questionnaire for National Security Positions	Form and Instruction	Unchanged	Supplemental Questionnaire for Selected Positions
44214	Questionnaire for National Security Positions	Instruction	Unchanged
44214	Questionnaire for National Security Positions	Form and Instruction	Unchanged	Investigation Request Certificaton & Release Screens
44214	Questionnaire for National Security Positions	Form and Instruction	Unchanged	SF 85PS Screens
44214	Questionnaire for National Security Positions	Form	Unchanged	Login
44214	Questionnaire for National Security Positions	Form	Unchanged	SF 86 Certification
44214	Questionnaire for National Security Positions	Form	Unchanged	Continuation Sheet For Questionnaires SF 85, SF 85P and SF 86
44214	Questionnaire for National Security Positions	Form and Instruction	Unchanged	Questionnaire for National Security Positions

ICR Details

OMB Control No: 3206-0005	ICR Reference No: 201106-3206-011
Status: Historical Active	Previous ICR Reference No: 200912-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: Questionnaires and Supplemental Form for National Security, Public Trust, and Non-sensitive Positions
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/05/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/30/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	03/31/2013	03/31/2013
Responses	168,200	0	168,200
Time Burden (Hours)	386,860	0	386,860
Cost Burden (Dollars)	0	0	0

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Abstract: OPM is requesting the addition of a third party preparer certification by employing agencies who are submitting paper SF86 data into the eQIP system. There is no additional burden on members of the public who are being investigated. A mockup of the SF 86 is provided as a supporting document.

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Authorizing Statute(s): EO: EO 12968 Name/Subject of EO: Access to Classified Information
   US Code: 5 USC 3301 Name of Law: Title 5: Government Organization and Employees
   US Code: 5 USC 3302 Name of Law: Title 5: Government Organization and Employees
   US Code: 5 USC 7312 Name of Law: Title 5: Government Organization and Employees
   US Code: 5 USC 9101 Name of Law: Title 5: Government Organization and Employees
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 35421	06/23/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 50260	09/30/2009
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Questionnaire for National Security Positions	SF 86, e-QIP, SF-86C, E-QIP, SF-85PS, SF-85, SF-86A, e-QIP, SF-85P (EQIP), SF-85 (EQIP), SF-85P, SF-86 (EQIP)	Questionnaire for National Security Positions ,   Continuation Sheet For Questionnaires SF 85, SF 85P and SF 86 ,   SF 86 Certification ,   Login ,   SF 85PS Screens ,   Investigation Request Certificaton & Release Screens ,   Supplemental Questionnaire for Selected Positions ,   Questionnaire for Public Trust Positions ,   Questionnaire for Non-Sensitive and Low Risk Positions ,   SF-85P Template for the EQIP Screen ,   SF-86 Template for the EQIP Screen ,   SF-85 Template for the EQIP Screen

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	168,200	168,200	0	0	0	0
Annual Time Burden (Hours)	386,860	386,860	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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:

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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

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Common Form ICR:  No

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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: 06/30/2011

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