SF 85 Questionnaire for Non-Sensitive Positions

ICR 202108-3206-008

OMB: 3206-0261

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Unchanged
Supplementary Document
2021-09-06
Supporting Statement A
2021-08-30
Supplementary Document
2021-08-30
Supplementary Document
2017-12-29
Supplementary Document
2017-12-29
ICR Details
3206-0261 202108-3206-008
Received in OIRA 201712-3206-019
OPM SF 85
SF 85 Questionnaire for Non-Sensitive Positions
Extension without change of a currently approved collection   Yes
Regular 09/09/2021
  Requested Previously Approved
36 Months From Approved 09/30/2021
110,080 110,080
137,600 137,600
2,064,000 0

The SF 85 is completed by civilian employees of the Federal Government, military personnel, and non-federal employees, including Federal contractors and individuals otherwise not directly employed by the Federal Government but who perform work for or on behalf of the Federal Government. For applicants, the SF 85 is to be used only after a conditional offer of employment has been made. The collection is used as the basis of information by the Federal Government in conducting background investigations, of persons under consideration for non-sensitive positions and by agencies in determining whether a person performing work for or on behalf of the Federal Government under a contract should be deemed eligible for logical or physical access.

EO: EO 10450 Name/Subject of EO: Security requirements for Government employment
  
None

Not associated with rulemaking

  86 FR 33784 06/25/2021
86 FR 49064 09/01/2021
No

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 110,080 110,080 0 0 0 0
Annual Time Burden (Hours) 137,600 137,600 0 0 0 0
Annual Cost Burden (Dollars) 2,064,000 0 0 2,064,000 0 0
No
No

No
    Yes
    Yes
No
No
No
No
Charles Conyers 202 606-0125 [email protected]

  Yes
OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 15 calendar days from the date the agency's RCF including the common form was received in OIRA.
 
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/09/2021


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