View Information Collection Request (ICR) Package

OMB Control No: 1910-1800	ICR Reference No: 202305-1910-004
Status: Received in OIRA	Previous ICR Reference No: 202110-1910-006
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Baldev Dhillon
Title: Security
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 08/10/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2025
Responses	109,621	84,621
Time Burden (Hours)	25,751	13,251
Cost Burden (Dollars)	2,317,590	1,192,590

Abstract: Collections are used by DOE management to exercise management oversight and control over management and operating (M&O) contractors of DOE's government-owned contractor-operated (GOCO) facilities and offsite contractors. The "oversight and control" function concerns ways in which DOE contractors provide goods and services to DOE organizations and activities in accordance with the therms of their contracts, government regulations, etc. Information is collected from DOE contractors and the public

Authorizing Statute(s): PL: Pub.L. 95 - 91 214, 644, 646(a) Name of Law: Department of Energy Organization Act

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:
	87 FR 76031	12/12/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 16963	03/21/2023
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
Security	DOE F 471.1, DOE F 5631.34, DOE F 5631.5, DOE F 5631.18, DOE F 5631.20, DOE F 5639.3, DOE F 473.3, DOE F 473.2, DOE F 472.3, DOE F 5631.29, Standard Form 328, DOE F 272.2	Data Report on Spouse Cohabitant , The Conduct of Personnel Security Interviews , Security Acknowledgement , Request for Visit or Access Approval , Report of Security Incident/Infraction , Badge Request Electronic , Foreign Citizenship Acknowledgement , Security Incident Notification Report , Security Termination Statement , Certificate Pertaining to Foreign Interests , Clearance Access Request , Personnel Security Information Reporting Form

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	109,621	84,621	25,000
Annual Time Burden (Hours)	25,751	13,251	12,500
Annual Cost Burden (Dollars)	2,317,590	1,192,590	1,125,000

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: Burden increase is due to the addition of a new form. U.S. Department of Energy Personnel Security Reporting Form (DOE F 272.2) was not originally included in the Information Collection that was approved with an expiration date of 6/30/2025. In accordance with Security Executive Agent Directive (SEAD) 3, Reporting Requirements for Personnel with Access to Classified Information or Who Hold a Sensitive Position, all covered individuals incur a special and continuing security obligation to be aware of the risks associated with foreign intelligence operations and/or possible terrorist activities directed against them in the United States and abroad. These individuals also have a responsibility to recognize and avoid personal behaviors and activities that may adversely impact their continued national security eligibility. Covered individuals shall report to their agency head or designee any planned or actual involvement in any of the activities outlined in the SEAD prior to participation in such activities or otherwise as soon as possible following the start of their involvement. The Department has a cleared population of approximately 100,000 and all are required to report on activities including arrest, foreign activities, name changes, association with foreign nationals, elicitation or attempted elicitation, mental health, unofficial foreign travel (planned and completed), contact with foreign intelligence, family residing in a sensitive country, drug/alcohol involvement, marriage/cohabitation, financial anomalies, and contact with the media. Under the Continuous Vetting Process outlined in Trusted Workforce 2.0 and SEAD 3, each Cognizant Personnel Security Office collects this information for review, investigation by the Defense Counterintelligence and Security Agency (as necessary), and adjudication to determine if a cleared individual continues to meet the requirements for holding a security clearance or a favorable access determination.

Annual Cost to Federal Government: $1,258,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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? No

Agency Contact: Yohanna Freeman 301 903-1151 yohanna.freeman@hq.doe.gov

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