Personnel Security Data Form-Contractor

NCUA Personnel Security Processing Forms

Documents and Forms

Document Name Document Type
Form 1092C Personnel Security Data Form-Contractor Form and Instruction
1092C Personnel Security Data Form-Contractor 1092C NCUA CONTRACTOR DATA FORM 2022.pdf Form and Instruction
1092C Personnel Security Data Form-Contractor 1092C NCUA CONTRACTOR DATA FORM 2022.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Personnel Security Data Form-Contractor	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR Part 731 (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
Form and Instruction	1092C	Personnel Security Data Form-Contractor	1092C NCUA CONTRACTOR DATA FORM 2022.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Personnel Access and Security System (PASS)	FR Citation: 81 FR 12748

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	100	100
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.