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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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			2159-03 Performance Work Statement.doc		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 %

	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

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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