Information Collection

Background Investigations for Child Care Workers, GSA Form 176

IC 190281 under ICR 202411-3090-002 · OMB 3090-0287.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form GSA Form 176 Background Investigations for Child Care Workers, GSA Form 176	Form and Instruction
Form GSA Form 176 Basic National Agency Check Criminal History (Child Care Workers) Background Investigations for Child Care Workers, GSA Form 176	Form and Instruction
GSA Form 176 Basic National Agency Check Criminal History (Child Care GSA 176.pdf	Form and Instruction
GSA Form 176 Basic National Agency Check Criminal History (Child Care GSA 176.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

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	GSA Form 176				Yes	Yes	Fillable Printable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records

Title: HSPD-12 USAccess

FR Citation: 80 FR 64416

Number of Respondents: 3,060

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,060	3,060
Annual IC Time Burden (Hours)	1,530	1,530
Annual IC Cost Burden (Dollars)	0	0

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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