Information Collection

Investigative Request for Employment Data and Supervisor Information (INV 41)

IC 248770 under ICR 202402-0705-002 · OMB 0705-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form INV 41 Investigative Request for Employment Data and Supervisor Information (INV 41)	Form and Instruction
INV 41 Investigative Request for Employment Data INV 41_November 2023.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 736

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	INV 41	Investigative Request for Employment Data	INV 41_November 2023.pdf		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,022,183

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,022,183	490,774	1,531,409
Annual IC Time Burden (Hours)	168,515	40,898	127,617
Annual IC Cost Burden (Dollars)	3,019,793	2,094,567	925,226

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.