Information Collection

Background Checks for Contractor Employees (Renewal)

IC 23563 under ICR 202107-2030-002 · OMB 2030-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2030-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2159-03 Performance Work Statement.doc	Other-Performance Work Statement, Le
2159-03 Performance Work Statement.doc	Other-Performance Work Statement, Le

IC Title:

Background Checks for Contractor Employees (Renewal)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 731, 732, 736 (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Other-Performance Work Statement, Levels of Personnel Background Checks for Contractor Employees					No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 500

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

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.

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