Information Collection

VA Police Officer Pre-Employment Screening Checklist

IC 28712 under ICR 201611-2900-013 · OMB 2900-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0524 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 0120 VA Police Officer Pre-Employment Screening Checklist Form
VA Form 0120 VA Police Officer Pre-Employment Screening Checklist VA0120.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	VA Police Officer Pre-Employment Screening Checklist	Agency IC Tracking Number:	2900-0524

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 0120	VA Police Officer Pre-Employment Screening Checklist	VA0120.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.