Information Collection

Personnel Vetting Questionnaire

IC 258819 under ICR 202302-3206-005 · OMB 3206-0279.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0279 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPM 5093 Personnel Vetting Questionnaire	Form and Instruction
OPM 5093 Part A -Mandatory for All Positions PVQ_Part A_30 Days_Notice.docx	Form and Instruction
OPM 5094 Part B – Mandatory for All Positions Except Low Risk PVQ_Part B_30 Days_Notice (1).docx	Form and Instruction
OPM 5095 Part C – Mandatory for all National Security Positions PVQ_Part C_30 Days_Notice.docx	Form and Instruction
OPM 5096 Part D - Public Trust-Specific (Select Positions) PVQ_Part D_30 Days_Notice (1).docx	Form and Instruction

IC Title:

Personnel Vetting Questionnaire

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 731

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OPM 5093	Part A -Mandatory for All Positions	PVQ_Part A_30 Days_Notice.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OPM 5094	Part B â Mandatory for All Positions Except Low Risk	PVQ_Part B_30 Days_Notice (1).docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OPM 5095	Part C â Mandatory for all National Security Positions	PVQ_Part C_30 Days_Notice.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OPM 5096	Part D - Public Trust-Specific (Select Positions)	PVQ_Part D_30 Days_Notice (1).docx	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title: OPM/Central-9

FR Citation: 87 FR 71700

Number of Respondents: 5,258

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,258	5,258
Annual IC Time Burden (Hours)	12,840	12,840
Annual IC Cost Burden (Dollars)	282,588	282,588

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.