INV 100A, Privacy Act Request For Completed Standard Form SF85/SF85P/SF86

Forms and Documents

Document Name	Status
Form INV 100A INV 100A Form and Instruction	New
Request for Emergency Clearance of a New Information Collection.docx Supplementary Document	2015-07-22
INV 100A Supporting Statement A.doc Supporting Statement A	2015-07-22
INV 100A, Emergency Clearance Request 7-22-2015.docx Supplementary Document	2015-07-22

IC Document Collections

IC ID	Document Title	Status
217609	INV 100A Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 201507-3206-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: OPM	Agency Tracking No:
Title: INV 100A, Privacy Act Request For Completed Standard Form SF85/SF85P/SF86
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 07/23/2015
OIRA Conclusion Action: Withdrawn	Conclusion Date: 07/27/2015
	Date Received in OIRA: 07/22/2015
Terms of Clearance: Withdrawn at request of OPM. OPM will resubmit the request with changes.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		6 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The INV 100A will be used by current and former Federal applicants, employees, military, and contractors to request Standard Form information from OPM's Personnel Investigations Processing System (PIPS) and/or electronic Questionnaires for Investigations Processing (e-QIP). The information from the request itself will be data entered into the Freedom of Information Act/Privacy Act (FOIA/PA) Tracking System.

Emergency Justfication: OPM is requesting emergency clearance of a new collection, INV100A, “Privacy Act Request For Completed Standard Form SF85/SF85P/SF86.” Emergency clearance is requested because the time to comply with the public comment provisions of the Paperwork Reduction Act would prevent the agency from responding to an unanticipated event. The collection will permit OPM to more efficiently process Privacy Act requests from individuals seeking to access their most recently completed SF85, SF85P, or SF86 that was used to initiate a background investigation. OPM is anticipating a sudden, high-volume influx of these Privacy Act requests due to the July 9, 2015 public announcement of the number of individuals affected by a cyberincident that involved the breach of the SF 85, SF 85P, and SF 86 forms completed by millions of individuals in connection with background investigations. OPM is requesting a waiver of the Federal Register publication requirement.

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Authorizing Statute(s): None

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

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
INV 100A	INV 100A	Privacy Act Request For Completed Standard Form SF85/SF85P/SF86

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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:

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Annual Cost to Federal Government:

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: 07/22/2015

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