This is a request for extension for a collection of information necessitated by the Office of Personnel Management (OPM) cybersecurity incident in which approximately 21.5 million security clearance background investigation records containing personally identifying information (PII) were compromised. The information collected will be used only to verify whether or not an individual was impacted by the OPM cybersecurity incident involving background investigation records and to send a letter confirming status as “impacted” or “not impacted” by this incident.
The latest form for Collection of Required Data Elements to Verify Eligibility expires 2022-09-30 and can be found here.
Document Name |
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Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Approved without change |
Revision of a currently approved collection | 2022-09-29 | |
Approved without change |
Revision of a currently approved collection | 2019-07-31 | |
Approved without change |
Revision of a currently approved collection | 2016-06-01 | |
Approved with change |
No material or nonsubstantive change to a currently approved collection | 2015-12-11 | |
Approved without change |
New collection (Request for a new OMB Control Number) | 2015-10-14 |