SF 85P Questionnaire for Public Trust Positions and SF 85PS Supplemental Questionnaire for Selected Positions

Forms and Documents

Document Name	Status
Form SF 85 PS SF 85PS, Supplemental Questionnaire for Selected Positons Form	New
Form SF 85 P SF 85P Questionnaire for Public Trust Positions Form and Instruction	New
Form SF 85PS SF 85PS, Supplemental Questionnaire for Selected Positons Form and Instruction	Removed
Form SF 85P Sf 85P Questionnaire for Public Trust Positions Form and Instruction	Removed
SF 85PS-Question 5 Psychological and Emotional Health Supplementary Docu....pdf Supplementary Document	2017-11-30
SF 85PS-Changes to Illegal Drugs_ Oct 2017.pdf Supplementary Document	2017-11-30
SF 85P--Adjudication of Comments Received From 30 Day FRN (Published 4-14-17) Spreadsheet--ROCIS--7-10-17.xlsm Supplementary Document	2017-10-05
2016-24507.pdf Supplementary Document	2017-08-23
SF 85P--Adjudication of Comments Received From 30 Day FRN _final response..xlsm Supplementary Document	2017-08-08
SF 85P and SF 85PS, 30 Day FRN, Vol. 82, No. 71, Friday, April 14, 2017, Page 18020.pdf Supplementary Document	2017-04-17
SF 85P and SF 85PS--Supporting Statement--ROCIS--FINAL--10-2017.doc Supporting Statement A	2017-10-05

IC Document Collections

IC ID	Document Title	Status
229108	SF 85PS, Supplemental Questionnaire for Selected Positons Form	New
229107	SF 85P Questionnaire for Public Trust Positions Form and Instruction	New
195380	SF 85PS, Supplemental Questionnaire for Selected Positons Form and Instruction	Removed
194388	Sf 85P Questionnaire for Public Trust Positions Form and Instruction	Removed

ICR Details

OMB Control No: 3206-0258	ICR Reference No: 201704-3206-003
Status: Active	Previous ICR Reference No: 201603-3206-008
Agency/Subagency: OPM	Agency Tracking No:
Title: SF 85P Questionnaire for Public Trust Positions and SF 85PS Supplemental Questionnaire for Selected Positions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/01/2017
	Date Received in OIRA: 04/28/2017
Terms of Clearance: This collection is approved based on the revised materials provided by the Agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	36 Months From Approved	11/30/2017
Responses	124,611	0	124,611
Time Burden (Hours)	114,847	0	143,071
Cost Burden (Dollars)	0	0	0

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Abstract: Questionnaire for Public Trust Positions (SF 85P) and Supplemental Questionnaire for Selected Positions (SF 85PS) The SF 85P and SF 85P-S are information collections completed by applicants for, or incumbents of, Federal Government civilian positions, or positions in private entities performing work for the Federal Government under contract. The SF 85P will be used by the Federal Government in conducting background investigations and reinvestigations of persons under consideration for, or retention of, public trust positions. The SF 85PS is supplemental to the SF 85P and is used only after an offer of employment has been made.

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Authorizing Statute(s): US Code: 5 USC 3302 Name of Law: Government Organization and Employees
   EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employment
   US Code: 5 USC 3301 Name of Law: Government Organization and Employees
  

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 16224	03/25/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 18020	04/14/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
SF 85PS, Supplemental Questionnaire for Selected Positons	SF 85PS, SF 85PS	Supplemental Questionnaire for Selected Positions ,   Supplemental Questionnaire for Selected Positions
Sf 85P Questionnaire for Public Trust Positions	SF 85P, SF 85P	Questionnaire for Public Trust Positions ,   Questionnaire for Public Trust Positions
SF 85P Questionnaire for Public Trust Positions	SF 85 P	SF 85 P Draft Content Guide
SF 85PS, Supplemental Questionnaire for Selected Positons	SF 85 PS	Supplemental Questionnaire for Selected Positions

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ICR Summary 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	124,611	124,611	0	124,611	-124,611	0
Annual Time Burden (Hours)	114,847	143,071	0	114,847	-143,071	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: Burden increase attributed to expanded scope of questions presented in SF 85P to enhance the background investigation process.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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:  Yes

Description/Changes for Common Form Usage: 

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title

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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: 04/18/2017

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