Information Collection

Investigative Background Forms

IC 181471 under ICR 201312-1535-004 · OMB 1535-0141.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PD F 5518 Investigative Request for Personal Information Investigative Background Forms	Form and Instruction
Form PD F 5519 Investigative Request for Law Enforcement Data Investigative Background Forms	Form and Instruction
Form PD F 5520 Investigative Request For Educational Registrar and Dean of Students Record Data Investigative Background Forms	Form and Instruction
Form PD F 5521 Investigative Request For Employment Data and Supervisor Information Investigative Background Forms	Form and Instruction
PD F 5518 Investigative Request for Personal Information 5518.pdf	Form and Instruction
PD F 5519 Investigative Request for Law Enforcement Data 5519.pdf	Form and Instruction
PD F 5520 Investigative Request For Educational Registrar and Dean 5520.pdf	Form and Instruction
PD F 5521 Investigative Request For Employment Data and Supervisor 5521.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 736 5 CFR 731

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PD F 5518	Yes	No	Fillable Printable
Form and Instruction	PD F 5519	Yes	No	Fillable Printable
Form and Instruction	PD F 5520	Yes	No	Fillable Printable
Form and Instruction	PD F 5521	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: Treasury/BPD.001

FR Citation: 76 FR 51128

Number of Respondents: 750

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	750	-1,410	2,160
Annual IC Time Burden (Hours)	125	-236	361
Annual IC Cost Burden (Dollars)	0	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.

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