Interview Survey Form (INV 10)

ICR 201909-0705-004

OMB: 0705-0004

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
33582 Modified
ICR Details
0705-0004 201909-0705-004
Active 201506-3206-001
DOD/OUSDI
Interview Survey Form (INV 10)
Revision of a currently approved collection   No
Regular
Approved with change 09/30/2019
Retrieve Notice of Action (NOA) 09/30/2019
This collection is approved based on the additional materials provided by the Agency.
  Inventory as of this Action Requested Previously Approved
08/31/2022 36 Months From Approved
67,391 0 61,973
6,739 0 6,197
119,031 0 0

The Interview Survey Form, INV 10, is mailed by OPM, to a random sampling of record and personal sources contacted during background investigations when investigators have performed fieldwork. The INV 10 is used as a quality control instrument designed to ensure the accuracy and integrity of the investigative product. The form queries the recipient about the investigative procedure exhibited by investigator, the investigator's professionalism, and the information discussed and reported.

EO: EO 10450 Name/Subject of EO: null
   EO: EO 12968 Name/Subject of EO: null
  
None

Not associated with rulemaking

  84 FR 1250 02/01/2019
84 FR 122 06/25/2019
No

1
IC Title Form No. Form Name
Interview Survey Form INV 10, INV 10 Interview Survey Form ,   Interview Survey Form

  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 67,391 61,973 0 5,418 0 0
Annual Time Burden (Hours) 6,739 6,197 0 542 0 0
Annual Cost Burden (Dollars) 119,031 0 0 119,031 0 0
Yes
Miscellaneous Actions
No
Burden increase is due to the increased number of INV 10 mailed in response to the increased number of background investigations being conducted.

$119,031
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
Uncollected
Charles Conyers 202 606-0125 [email protected]

  No

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.
06/27/2019


© 2024 OMB.report | Privacy Policy