Information Collection

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

IC 248770 under ICR 202104-0705-002 · OMB 0705-0003.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.