Information Collection

USM-234, Contract Guard Personal Qualifications Statement

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

Documents and Forms

Document Name Document Type
Form USM-234 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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	USM-234, Contract Guard Personal Qualifications Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	USM-234	Contract Guard Personal Qualifications Statement	usm234_20240725.pdf		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 %

	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

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.