Extension without change of a currently approved collection
No
Regular
Approved without change
09/08/2025
07/29/2025
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
09/30/2028
36 Months From Approved
09/30/2025
22,824
0
25,000
5,706
0
6,250
358,109
0
248,625
Information collected through the Contractor Information Worksheet is necessary to meet:
â The Office of Management and Budget (OMB) Guidance M-05-24 for Homeland Security Presidential Directive (HSPD) 12 which authorizes Federal departments and agencies to ensure that contractors/their employees have limited/controlled access to facilities and information systems, and
â GSA Directive CIO P 2181.1 Homeland Security Presidential Directive-12 Personal Identity Verification and Credentialing which states that GSA contractors/their employees must undergo a minimum of a FBI National Criminal Information Check (NCIC) to receive unescorted physical access.
GSA requires the collection of the information in the Contractor Information Worksheet to authorize and initiate background check requests for GSA contractor employees and for them to obtain a GSA access card. The background checks are carried out by the Office of Personnel Management, Facilities, Security & Contracting-Personnel Security (OPM FSC) and the credentialing process is carried out by the GSAâs Managed Service Office (MSO) in accordance with the terms and conditions of separate Memoranda of Agreement (MOAs).
2. Use of the Information.
The GSA requesting official, referred to as âSponsor,â collects and inputs the Contractor Information Worksheet data into the GSA Credential and Identity Management System (GCIMS). GSA Office of Mission Assurance (OMA) Identity, Credential and Access Management (ICAM) Division then uploads the relevant contractor data from GCIMS to the OPM e-QIP system for initiation of the contractor background investigation process. GCIMS automatically sends relevant data to the MSO for enrollment, including digital fingerprints for investigation and GSA access card, if needed. The OPM FSC performs the required background checks for GSA contractor employees once the applicant completes the e-QIP and fingerprinting process. The requesting official is responsible for requesting the investigation and/or GSA access card. Often the GSA requesting official is the Contracting Officerâs Representative (COR) for the contract, but this role may be fulfilled by a project manager, Public Buildings Service (PBS) building manager, or local Access Card Point of Contact (POC) as appropriate.
If the applicant has a prior background check, OPM FSC uses the information in e-QIP to verify the prior determination. When OPM FSC makes an access determination, they notify the OMA ICAM Division. The OMA ICAM Division will input the results into GCIMS and notify the applicant, GSA sponsor, GSA POCs, and contractorâs point of contact.
For Items 12 & 14, an updated estimated # of respondents per year/responses per year was used. This number was calculated by adding the estimated total number of respondents/responses received over the past two fiscal years and then dividing that number by 2 (if necessary, the number was then rounded to the nearest whole number). The change in this number can be attributed to using updated data. Specifically, the updated data reflects estimated data for fiscal years 2024 and 2023, whereas the prior data reflected estimated data for fiscal years 2012 through 2015.
For Item 12, an updated estimated cost per hour was used. This number is based on the Office of Personnel Management (OPM) GS-11, Step 10 salary of $46.05 per hour (see OPM Salary Table 2025-RUS, Effective January 2025), plus a fringe factor of 36.25% ($16.69) (see OMB Memo M-08-13 for use in public-private competition). The change can be attributed to using current data (i.e., the previous extension used an amount of $39.78 and mentions using data from fiscal years Fiscal Years 2012-2015. There was no mention of fringe being applied).
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form GSA 850 Contractor Information Worksheet
3090-0283-Supporting Statement (4).docx
Contractor Information Worksheet, GSA Form 850