SF 85 Questionnaire for Non-Sensitive Positions

ICR 201307-3206-006

OMB: 3206-0261

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2013-09-30
Supporting Statement A
2013-09-30
Supplementary Document
2013-08-06
IC Document Collections
ICR Details
3206-0261 201307-3206-006
Historical Active
OPM
SF 85 Questionnaire for Non-Sensitive Positions
New collection (Request for a new OMB Control Number)   Yes
Regular
Approved without change 12/04/2013
Retrieve Notice of Action (NOA) 09/30/2013
  Inventory as of this Action Requested Previously Approved
12/31/2016 36 Months From Approved
55,040 0 0
27,520 0 0
0 0 0

This NEW package, unbundled from the SF 86 (OMB 3206-0005) transmits a 30 Day Notice request for clearance for the Federal Register publication notice of a request for review of the SF 85. The SF 85 is completed by civilian employees of the Federal Government, military personnel, and non-federal employees, including Federal contractors and individuals otherwise not directly employed by the Federal Government but who perform work for or on behalf of the Federal Government. For applicants, the SF 85 is to be used only after a conditional offer of employment has been made. The collection is used as the basis of information by the Federal Government in conducting background investigations, of persons under consideration for non-sensitive positions and by agencies in determining whether a person performing work for or on behalf of the Federal Government under a contract should be deemed eligible for logical or physical access.

EO: EO 10450 Name/Subject of EO: Security requirements for Government employment
  
None

Not associated with rulemaking

  78 FR 42982 07/18/2013
78 FR 59983 09/30/2013
Yes

1
IC Title Form No. Form Name
SF 85 Questionnaire for Non-Sensitive Positions SF 85 Questionnaire for Non-Sensitive Positions

  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 55,040 0 0 55,040 0 0
Annual Time Burden (Hours) 27,520 0 0 27,520 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The SF 85 has been split from its previous ICR package, 3206-0005. As a result, its burden us being separately calculated.

No
No
No
No
No
Uncollected
Michele DeMarion 724 794-5612 ext. 5274 [email protected]

  Yes
 
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title
CFPB 201404-3170-003CF CFPB's use of SF-85 Questionnaire for Non-Sensitive Positions Historical Active SF 85 Questionnaire for Non-Sensitive Positions

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/30/2013


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