Information Collection

Form CSO-005, Preliminary Background Check Form

IC 231179 under ICR 202106-1105-001 · OMB 1105-0105.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0105 can be found here:

Documents and Forms

Document Name Document Type
Form CSO-005 Form CSO-005, Preliminary Background Check Form Form and Instruction
CSO-005 Preliminary Background Check Form cso005-rev.pdf Form and Instruction
CSO-005 Preliminary Background Check Form cso005-rev.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form CSO-005, Preliminary Background Check Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	CSO-005	Preliminary Background Check Form	cso005-rev.pdf		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

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

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	1,125	1,125
Annual IC Cost Burden (Dollars)	14,651	14,651

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.