Information Collection

USM-234, Contract Guard Personal Qualifications Statement

IC 229796 under ICR 202407-1105-001 · OMB 1105-0104.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form USM-234 USM-234, Contract Guard Personal Qualifications Statement	Form and Instruction
Form USM-234 Contract Guard Personal Qualifications Statement USM-234, Contract Guard Personal Qualifications Statement	Form and Instruction
USM-234 Contract Guard Personal Qualifications Statement usm234_20240725.pdf	Form and Instruction
USM-234 Contract Guard Personal Qualifications Statement usm234_20240725.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:

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	USM-234				No		Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title: OPM/Govt-1, General Personnel Records

FR Citation: 76 FR 32997

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,000	0	1,000
Annual IC Time Burden (Hours)	1,000	-250	1,250
Annual IC Cost Burden (Dollars)	45,470	12,090	33,380

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.

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