Regulatory Collection Filing

Personnel Vetting Questionnaire (PVQ)

RCF 202503-3263-001CF · Host ICR 202302-3206-005 · OMB 3206-0279

RCF Summary

Request for correction metadata
Host OMB Control No.	3206-0279
Host ICR Reference No.	202302-3206-005
Agency/Subagency	ABMC
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2025-03-14
Conclusion Date	2025-03-14
Agency Tracking No.	ABMC20250313-1
Related Links	OMB 3206-0279 · ICR 202302-3206-005 · Retrieve Notice of Action (NOA)

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Title: Personnel Vetting Questionnaire (PVQ)

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/14/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/14/2025
Terms of Clearance:

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Description of Agency Usage: The Personnel Vetting Questionnaire form will be used for personnel security background investigations, conducted under DCSA, as a replacement for the SF85/85P-86 forms.

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Authorizing Statute(s): None

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Annual Cost to Federal Government: $25,000
Agency Contact: Roberto Dominguez 703 696-6615 [email protected]

Common Form Information Collections (IC) in this RCF:

table that charts list of ICs
IC Title	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Personnel Vetting Questionnaire	20	49	1,075	Form and Instruction	3206-NEW	PVQ Part A
				Form and Instruction	3206-NEW	PVQ Part B
				Form and Instruction	3206-NEW	PVQ Part C
				Form and Instruction	3206-NEW	PVQ Part D
				Form and Instruction	3206-NEW	PVQ Certification and Releases
				Instruction

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	20	20
Annual Time Burden (Hours)	49	49
Annual Cost Burden (Dollars)	1,075	1,075

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: Request by OPM to use this form for personnel vetting