United States Park Police Personal History Statement

Forms and Documents

Document Name	Status
Form USPP Form 1 US Park Police Personal History Statement Form and Instruction	Modified
1024-0245 Supporting Statement A - 2014 rev.doc Supporting Statement A	2014-01-17
1024-0245 30-day published.pdf Supplementary Document	2014-01-27
1024-0245 60-day published.pdf Supplementary Document	2014-01-06

IC Document Collections

IC ID	Document Title	Status
11182	US Park Police Personal History Statement Form and Instruction	Modified

ICR Details

OMB Control No: 1024-0245	ICR Reference No: 201310-1024-002
Status: Historical Active	Previous ICR Reference No: 201010-1024-001
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: United States Park Police Personal History Statement
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/27/2014
	Date Received in OIRA: 01/27/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	36 Months From Approved	03/31/2014
Responses	2,500	0	1,000
Time Burden (Hours)	20,000	0	8,000
Cost Burden (Dollars)	227,500	0	11,100

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Abstract: The information received will be used principally as a basis for an investigation to determine an applicant's fitness for employment purposes, including a security clearance, an evaluation of qualifications, suitability, and loyalty to the United States.

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Authorizing Statute(s): US Code: 5 USC Sec.'s 1302, 1304 & 3301 Name of Law: Administrative Procedures Act
   EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employees
   US Code: 42 USC Section 2455 Name of Law: Public Health and Welfare - Security Requirements
  

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:
	78 FR 53478	08/29/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 4357	01/27/2014
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
US Park Police Personal History Statement	USPP Form 1	United States Park Police Personal History Statement

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ICR Summary 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	2,500	1,000	0	0	1,500	0
Annual Time Burden (Hours)	20,000	8,000	0	0	12,000	0
Annual Cost Burden (Dollars)	227,500	11,100	0	0	216,400	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: We are reporting 2,500 annual responses totaling 20,000 burden hours for this collection, which is an adjustment increase of 1,500 responses and 12,000 burden hours. We increased the number of responses based on our experience in administering this collection. We have also made an adjustment increase (from $11,100 to $227,500) for the nonhour burden costs. The increased cost is due to the increased number of responses as well as including costs for providing required supporting documents.

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Annual Cost to Federal Government: $56,415

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: 01/27/2014

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