Background Investigations for Child Care Workers, GSA Form 176

ICR 201810-3090-005

OMB: 3090-0287

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
3090-0287 201810-3090-005
Active 201503-3090-003
Background Investigations for Child Care Workers, GSA Form 176
Extension without change of a currently approved collection   No
Approved without change 11/26/2018
Retrieve Notice of Action (NOA) 10/24/2018
  Inventory as of this Action Requested Previously Approved
11/30/2021 36 Months From Approved 11/30/2018
3,060 0 3,060
1,530 0 1,530
0 0 0

Homeland Security Presidential Directive (HSPD) 12 "Policy for a Common Identification Standard for Federal Employees and Contractors" (the Directive) requires the implementation of a government-wide standard for secure and reliable forms of identification for Federal employees and contractors. OMB's implementing instructions requires all contract employees requiring routine access to federally controlled facilities for greater than 6 months to receive a background investigation. The minimum background investigation is the National Agency Check with Written Inquiries ( NACI) and the Office of Personnel Management offers a childcare NACI (CNACI).


Not associated with rulemaking

  83 FR 32996 07/12/2018
83 FR 51953 10/15/2018

IC Title Form No. Form Name
Background Investigations for Child Care Workers, GSA Form 176 GSA Form 176 Basic National Agency Check Criminal History (Child Care Workers)

  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 3,060 3,060 0 0 0 0
Annual Time Burden (Hours) 1,530 1,530 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Phil Ahn 202 501-2447


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:
    (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;
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.

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