202503-3046-001CF RCF OMB: 3206-0279
OMB.report
OMB 3206-0279
RCF 202503-3046-001CF
( RCF New )
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(
[refNbr] => 202503-3046-001CF
[obm] => 3206-0279
[icr] => 202302-3206-005
[status] => Received in OIRA
[agency] => EEOC
[title] => Personnel Vetting Questionnaire
[typeRCF] => RCF New
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[oiraNOA] => (function(
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] =>
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202503-3046-001CF
Previous RCF ID:
Status:
Received in OIRA
Expiration Date: 11/30/2026
Agency/Subagency: EEOC
Agency Tracking No:
Host OMB Control No: 3206-0279
Host ICR Reference No: 202302-3206-005
Title: Personnel Vetting Questionnaire
Description of Agency Usage:
The Equal Employment Opportunity Commission would like to use the Personnel Vetting Questionnaire for the background investigations of employees and contractors.
Authorizing Statute(s):
EO: EO 13764 Name/Subject of EO: Amending the Civil Service Rules
EO: EO 13467 Name/Subject of EO: Modernize the Executive Branch -Wide Governance Structure
Annual Cost to Federal Government:
Agency Contact:
Brett Brenner 202 663-7207 [email protected]
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Total Request
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
100
0
0
100
0
0
Annual Time Burden (Hours)
244
0
0
244
0
0
Annual Cost Burden (Dollars)
5,374
0
0
5,374
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is the burden associated with using the Personnel Vetting Questionnaire, which replaces the Standard Form 86, the Standard Form 85P, the Standard Form 85P-S, and the Standard Form 85.”