OMB control number
Contractor Information Worksheet; GSA Form 850
OMB 3090-0283 · GSA.
Information collected through the Contractor Information Worksheet is necessary to meet: ● 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 ● 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 GSA’s 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 “Sponsor,” 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 Officer’s 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 contractor’s point of contact.
The latest form for Contractor Information Worksheet; GSA Form 850 expires 2028-09-30 and can be found here.
Document Name |
|---|
Form and Instruction |
Form and Instruction |
Supporting Statement A |
Supporting Statement A |
| Extension without change of a currently approved collection | 2025-07-29 | ||
|
Approved without change |
Extension without change of a currently approved collection | 2022-08-01 | |
|
Approved without change |
Extension without change of a currently approved collection | 2019-07-02 | |
|
Improperly submitted and continue |
No material or nonsubstantive change to a currently approved collection | 2017-05-03 | |
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2017-01-09 | |
|
Approved with change |
Revision of a currently approved collection | 2016-06-01 | |
|
Approved without change |
Revision of a currently approved collection | 2012-11-21 | |
|
Approved without change |
Extension without change of a currently approved collection | 2009-11-04 | |
|
Approved with change |
New collection (Request for a new OMB Control Number) | 2009-03-23 |