National Park Service Background Clearance Initiation Request

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10-152 Background Clearance Initiation Request	Form and Instruction	New	Available
1024-New BIR Published Notice 10262016 81207 74477 2016-25845.pdf	Supplementary Document	Uploaded 2016-10-26	Available
1024-New Background Initiation Request SSA draft 09162016.docx	Supporting Statement A	Uploaded 2016-09-16	Available
1024-New 60-day FRN Background Initiation Request Form Final Published 04012016 81063 18881 2016-07387.pdf	Supplementary Document	Uploaded 2016-09-06	Available
EO 10450--Security requirements for Government employment.pdf	Supplementary Document	Uploaded 2016-09-06	Available
EO 10577--Amending the Civil Service Rules and authorizing a new appointment system for the competitive service.pdf	Supplementary Document	Uploaded 2016-09-06	Available
5 USC 9101 Criminal history record information for national security purposes.pdf	Supplementary Document	Uploaded 2016-09-06	Available
5 USC 3302 Competitive service; rules.pdf	Supplementary Document	Uploaded 2016-09-06	Available
5 USC 3301 Civil service; generally.pdf	Supplementary Document	Uploaded 2016-09-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223393	Background Clearance Initiation Request	Form and Instruction	New

ICR Details

OMB Control No: 1024-0282	ICR Reference No: 201609-1024-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: National Park Service Background Clearance Initiation Request
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/23/2017
	Date Received in OIRA: 10/26/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved
Responses	6,500	0	0
Time Burden (Hours)	758	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Park Service (NPS), as delegated by the U.S. Office of Personnel Management (OPM), is authorized to request information to determine suitability of applicants for Federal employment and non-Federal personnel proposed to work under contractor and/or agreement who require access to NPS property and/or receive a DOIAccess (personal identity verification (PIV)) badges. The conduct of suitability determinations is authorizations under Executive Orders 10450, “Security requirements for Government employment” and 10577, “Amending the Civil Service Rules and authorizing a new appointment system for the competitive service”; sections 3301, 3302, and 9101 of Title 5, United States Code (U.S.C.); and parts 2, 5, 731, and 736 of Title 5, Code of Federal Regulations (CFR), and Federal information processing standards. Section 1104 of Title 5 allows OPM to delegate personnel management functions to other Federal agencies. In line with new regulations mandated by the OPM and the Department of the Interior (DOI), the NPS Personnel Security Branch is utilizing the Electronic Questionnaires for Investigations Processing (E-QIP) System. As a result, electronic submission of the Standard Form 85, for suitability background investigations (NACI), or the Standard Form 85P, for Public Trust, is now required. The DOI and NPS requires all applicants for Federal employment and non-Federal personnel (contractors, partners, etc.) requiring access to NPS property and/or receive a DOIAccess PIV badge to be processed for a suitability background investigation, in accordance with Executive Order 10450 and the Homeland Security Presidential Directive (HSPD-12). The National Park Service will utilize Form 10-152, “Background Initiation Request” to create E-QIP accounts necessary to initiate background investigations for all individuals requiring access to NPS property and/or receive a DOIAccess (personal identity verification (PIV)) badge. Form 10-152 will be completed by applicants for Federal employment and non-federal personnel, 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.

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Authorizing Statute(s): EO: EO 10450 Name/Subject of EO: Security requirements for Government employment
   EO: EO 10577 Name/Subject of EO: Amending the Civil Service Rules and authorizing a new appointment system for the competitive
   US Code: 5 USC 3301 Name of Law: Civil service; generally
   US Code: 5 USC 3302 Name of Law: Competitive service; rules
   US Code: 5 USC 9101 Name of Law: Criminal history record information for national security purposes
  

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:
	81 FR 18881	04/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 74477	10/26/2016
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Background Clearance Initiation Request	10-152	Background Clearance Initiation Request

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ICR Summary of Burden

table that charts list 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	6,500	0	0	6,500	0	0
Annual Time Burden (Hours)	758	0	0	758	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is an existing collection in use without an OMB Control Number.

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Annual Cost to Federal Government: $954,005

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: 10/26/2016

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