Investigative Request for Employment Data and Supervisor Information (INV 41)

Federal Background Investigation and Personnel Vetting Investigative Request Forms (INV 40-44)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0705-0003 can be found here:

Documents and Forms

Document Name Document Type
Form INV Form 41 Investigative Request for Employment Data and Supervisor Information (INV 41) Form and Instruction
INV Form 41 Investigative Request for Employment Data and Supervisor INV 41-Rev. 10-19-FINAL.pdf Form and Instruction
INV Form 41 Investigative Request for Employment Data and Supervisor INV 41-Rev. 10-19-FINAL.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Investigative Request for Employment Data and Supervisor Information (INV 41)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 736

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	INV Form 41	Investigative Request for Employment Data and Supervisor Information	INV 41-Rev. 10-19-FINAL.pdf		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,531,409	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,531,409	1,531,409
Annual IC Time Burden (Hours)	127,617	127,617
Annual IC Cost Burden (Dollars)	925,226	925,226

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.