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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0704-0194
ICR Reference No:
201607-0704-003
Status:
Historical Active
Previous ICR Reference No:
200803-0704-002
Agency/Subagency:
DOD/DODDEP
Agency Tracking No:
Title:
"Department of Defense Security Agreement", "Appendage to Department of Defense Security Agreement", "Certificate Pertaining to Foreign Interests"
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
09/08/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/25/2016
Terms of Clearance:
This collection is approved based on the revised materials provided by DOD.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2019
36 Months From Approved
Responses
6,851
0
0
Time Burden (Hours)
4,171
0
0
Cost Burden (Dollars)
182,702
0
0
Abstract:
The execution of the DD Forms 441, 441-1 and SF 328 are factors in making a determination as to whether a contractor is eligible to have a facility security clearance. They are also a legal basis for imposing National Security Program (NISP) security requirements on eligible contractors.
Authorizing Statute(s):
EO: EO 12829 Name/Subject of EO: National Industrial Security Program
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
80 FR 27938
05/15/2015
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 47790
07/22/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
"Department of Defense Security Agreement", "Appendage to Department of Defense Security Agreement", "Certificate Pertaining to Foreign Interests"
SF 328, DD Form 441-1, DD Form 441
Department of Defense Security Agreement
,
Appendage to Department of Defense Security Agreement
,
Certificate Pertaining to Foreign Interests
ICR Summary of Burden
Total Approved
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
6,851
0
0
1,569
0
5,282
Annual Time Burden (Hours)
4,171
0
0
-3,663
0
7,834
Annual Cost Burden (Dollars)
182,702
0
0
-904,821
0
1,087,523
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
An adjustment reflecting a change in burden hours was made based on the volume in forms submitted causing new estimates. Capital/Start up and Annualized Costs to Industry reflects a change, due to the estimated proportionate cost for the contractor’s purchase and/or maintenance of associated software and hardware in order to complete the forms. Adjustments in cost to the government are related to the estimated cost to receive and initially review the forms due to the full implementation of e-FCL, reduced paper usage and volume in version of forms submitted. This is a reinstatement with change of a collection previously approved by OMB.
Annual Cost to Federal Government:
$459,607
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Caitlyn Borghi 571 372-0492 caitlyn.a.borghi.ctr@mail.mil
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
07/25/2016
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