VBA Contractor Background Investigation Request (VA Form 20-10276)

ICR 202204-2900-016

OMB:

Federal Form Document

IC Document Collections
ICR Details
202204-2900-016
Received in OIRA
VA VBA-OMS-YA
VBA Contractor Background Investigation Request (VA Form 20-10276)
New collection (Request for a new OMB Control Number)   No
Regular 08/17/2022
  Requested Previously Approved
36 Months From Approved
5,000 0
833 0
0 0

The VA Form 20-10276 will be used to request information necessary to conduct a background investigation of a VBA contractor. The results will determine the suitability and trustworthiness of the VBA contractor to have their background investigation adjudicated. After a favorable adjudication, they may receive a personal identity verification (PIV) Card to access VA systems

None
None

Not associated with rulemaking

  87 FR 33313 06/01/2022
87 FR 48234 08/08/2022
No

1
IC Title Form No. Form Name
VBA Contractor Background Investigation Request (VA Form 20-10276) 20-10276 VBA Contractor Background Investigation Request

  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 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 833 0 0 833 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.

$553,330
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 [email protected]

  No

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.
08/17/2022


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