OMB control number
USM-234, Contract Guard Personal Qualification Statement
OMB 1105-0104 · DOJ/LA.
OMB 1105-0104
This form is used to collect applicant reference information. Reference checking is an objective evaluation of an applicant’s past job performance based on information collected from key individuals (e.g., supervisors, peers, subordinates) who have known and worked with the applicant. Reference checking is a necessary supplement to the evaluation of resumes and other descriptions of training and experience, and allows the selecting official to hire applicants with a strong history of performance. The questions on this form have been developed following the OPM, MSPB, and DOJ “Best Practice” guidelines for reference checking.
The latest form for USM-234, Contract Guard Personal Qualification Statement expires 2028-01-31 and is listed under ICR 202407-1105-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form USM-234 USM-234, Contract Guard Personal Qualifications Statement | Form and Instruction |
 USM-234 - Supporting Statement - POD BIC 10_7_2024.docx | Supporting Statement A |
 USM-234, Contract Guard Personal Qualifications Statement |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202407-1105-001 | Reinstatement with change of a previously approved collection | 2024-11-26 | ||
| 202103-1105-001 | Extension without change of a currently approved collection | 2021-05-19 | Approved without change | |
| 201711-1105-001 | New collection (Request for a new OMB Control Number) | 2018-03-19 | Approved without change |