Pre-FOCI Conference Questionnaire

OMB CONTROL NUMBER: 0704-0553

OMB EXPIRATION DATE: 04/30/2019

PRE-FOCI CONFERENCE QUESTIONNAIRE

AGENCY DISCLOSURE NOTICE:

The public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives Division, 4800 Mark Center Drive, East Tower, Suite 03F09, Alexandria, VA 22350-3100 [0704-0553]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR RESPONSE TO THE ABOVE ADDRESS.

Responses should be sent to [email protected] by April 5, 2017.

AUTHORITY: DoD Directive 5105.42, Defense Security Service (DSS), August 3, 2010, w/Change 1, March 31, 2011, authorizes the DSS Director to convene and participate in meetings, seminars, and conferences with representatives of the U.S. Government, contractors, international organizations, and industrial security, business, and professional organizations in order to accomplish the DSS mission of administering the National Industrial Security Program for the Department of Defense (DoD) and other federal agencies that have entered into industrial security service agreements with DoD. The DSS Director is also charged in the same directive with the responsibility to design and manage DSS programs and activities to improve performance, economy, and efficiency, with particular attention to the requirements of DSS organizational customers, internal and external to DoD.

PURPOSE: To obtain recommendations and suggestions from persons eligible to participate in annual DSS foreign ownership, control or influence (FOCI) conference regarding: potential topics and speakers for the conference, and interest in nominating speakers or participating via Video Tele Conference (VTC).

ROUTINE USE(S): Information you provide will be used by DSS personnel in planning the agenda and VTC participation in the upcoming FOCI conference.

MANDATORY OR VOLUNTARY: Answering the survey, and disclosing your name and contact information, are entirely voluntary.

Dear potential FOCI Conference participant: Your comments will greatly assist the Defense Security Service (DSS) plan for the upcoming FOCI conference as well as the DSS FOCI program. Please fill out and email your form to: [email protected]

1. Are you currently serving as a Facility Security Officer (FSO) or Outside Director/Proxy Holder (OD/PH)?

2. A. How would you gauge your interest in the following proposed Conference topics? 5-Extremely Interested, 1-Not Interested

1. DSS in Transition 1 2 3 4 5

2. Integration of Acquisition, Intelligence 1 2 3 4 5

and Security within the NISP to address

the new risk-based approach

3. Standards for OD/PHs 1 2 3 4 5

2. What other issues/areas of discussion would you like covered? Any additional comments?

2. Are there issues/areas of discussion regarding FOCI within the cleared defense industry you would like to lead (e.g. as a panel member) or actively participate in (e.g. in an industry-specific break out session)?

3. Who would you like to nominate as a guest speaker, and why?

4. If you had the option, would you prefer to attend a live VTC-streaming event at a local DSS Field Office? Which Field Office?

Name (optional): ___________________________________(Please Print)

Contact Info (Will be used to Coordinate Voluntary Participation only)_____________________________________________________

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