USM-234, District/Aviation Security Officers (DSO/ASO) Personal Qualifications Statement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0104 can be found here:

Documents and Forms

Document Name Document Type
Form USM-234 USM-234, District/Aviation Security Officers (DSO/ASO) Personal Qualifications Statement Form and Instruction
USM-234 District/Aviation Security Officers (DSO/ASO) Personal Q usm234-20171130.pdf Form and Instruction
USM-234 District/Aviation Security Officers (DSO/ASO) Personal Q usm234-20171130.pdf Form and Instruction
New Collection - USM-234 - Supporting Statement.docx Supporting Statement IC Document
New Collection - USM-234 - Supporting Statement.docx Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	USM-234, District/Aviation Security Officers (DSO/ASO) Personal Qualifications Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	USM-234	District/Aviation Security Officers (DSO/ASO) Personal Qualifications Statement	usm234-20171130.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title: OPM/Govt-1, General Personnel Records	FR Citation: 76 FR 32997

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	1,250	1,250
Annual IC Cost Burden (Dollars)	33,380	33,380

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	New Collection - USM-234 - Supporting Statement.docx	01/23/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.