Information Collection

VA Police Officer Pre-Employment Screening Checklist

IC 28712 under ICR 201303-2900-004 · OMB 2900-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0524 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 0120 VA Police Officer Pre-Employment Screening Checklist	Form
VA Form 0120 VA Police Officer Pre-Employment Screening Checklist VA0120.pdf	Form

IC Title:

VA Police Officer Pre-Employment Screening Checklist

Agency IC Tracking Number:

2900-0524

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

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
Form	VA Form 0120	VA Police Officer Pre-Employment Screening Checklist	VA0120.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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