Personnel Security Data Form- Contractor

NCUA Personnel Security Processing Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0201 can be found here:

Documents and Forms

Document Name Document Type
Form 1092C Personnel Security Data Form- Contractor Form
1092C Personnel Security Data Form- Contractor 1093C_NCUA CONTRACTOR DATA FORM OMB 05.2019.pdf Form

Information Collection (IC) Details

IC Title:	Personnel Security Data Form- Contractor	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 5 CFR Part 731 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1092C	Personnel Security Data Form- Contractor	1093C_NCUA CONTRACTOR DATA FORM OMB 05.2019.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Personnel Access and Security System (PASS)	FR Citation: 81 FR 12748

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	100	100
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.