SSA3206-0106 for 30 apr

OMB Supporting Statement

Mail Reinterview Form (INV 10)

Justification

1. The INV 10 is used as a quality control instrument designed to ensure the accuracy and integrity of the investigative product, as it inquires of the sources about the investigative procedure employed by the investigator, the investigator’s professionalism, and the information discussed and reported. Executive Order 10450 requires that investigations be conducted on all persons entering the Federal service. Executive Order 12968 requires that certain criteria be met for access to classified information.

2. The information collected is used by our Integrity Assurance Group to evaluate the performance of the investigators conducting the investigations.

3. Not applicable.

4. No similar information is available.

5. Not applicable.

6. The Federal Investigative Services Division (FISD) emphasizes that investigations be conducted with the highest professional integrity. To maintain its high standards, FISD requires feedback from people being interviewed by field investigators to ensure that the investigators are performing their duties with the utmost professionalism and in compliance with Federal and contract requirements.

7. This information collection is in compliance with 5 CFR 1320.6.

8. The 60-day Federal Register Notice was published February, 02 at 77FR5581. No comments were received.

9. Not applicable.

10. The INV 10 does not require a privacy statement. However, FISD handles responses confidentially. Only those personnel with a need to know are given limited access to this information.

11. Not applicable.

12. It is estimated that 111,174 INV 10 forms are sent to individuals annually. Of those, it is estimated that 63,869 individuals respond. Each form takes approximately six minutes to complete for a total burden of 6,387 hours.

13. The cost to individual respondents is negligible.

14. Estimated cost to generate and maintain the INV 10 is $47,018.00 annually, based on 10 hours annually at a GS-13 pay rate of $39.75 per hour and $46,620.00 for supplies.

15. The annual public burden hours have been adjusted to reflect an increase in background investigations completed.

16. Not applicable.

17. Request not to display expiration date because it is not cost effective to revise and distribute new copies to individual offices that utilize the form.

18. Not applicable.

Mail Reinterview Form (INV-10) 2