Information Collection

Personnel Security Data Form-Contractor

IC 236445 under ICR 202511-3133-001 · OMB 3133-0201.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1092C Personnel Security Data Form-Contractor	Form and Instruction
Form 1092C Personnel Security Data Form-Contractor Personnel Security Data Form-Contractor	Form and Instruction
1092C Personnel Security Data Form-Contractor NCUA CONTRACTOR DATA FORM 2025.pdf	Form and Instruction
1092C Personnel Security Data Form-Contractor NCUA CONTRACTOR DATA FORM 2025.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR Part 731 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	1092C				Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: Personnel Access and Security System (PASS)

FR Citation: 81 FR 12748

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	100	100
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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