View Information Collection Request (ICR) Package
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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:
3206-0261
ICR Reference No:
201611-3206-004
Status:
Historical Active
Previous ICR Reference No:
201307-3206-006
Agency/Subagency:
OPM
Agency Tracking No:
Title:
SF 85 Questionnaire for Non-Sensitive Positions
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
Yes
Type of Review Request:
Emergency
Approval Requested By:
11/22/2016
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/22/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/22/2016
Terms of Clearance:
This collection is approved for 6 months only.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2017
6 Months From Approved
12/31/2016
Responses
55,040
0
55,040
Time Burden (Hours)
27,520
0
27,520
Cost Burden (Dollars)
0
0
0
Abstract:
This NEW package, unbundled from the SF 86 (OMB 3206-0005) transmits a 30 Day Notice request for clearance for the Federal Register publication notice of a request for review of the SF 85. The SF 85 is completed by civilian employees of the Federal Government, military personnel, and non-federal employees, including Federal contractors and individuals otherwise not directly employed by the Federal Government but who perform work for or on behalf of the Federal Government. For applicants, the SF 85 is to be used only after a conditional offer of employment has been made. The collection is used as the basis of information by the Federal Government in conducting background investigations, of persons under consideration for non-sensitive positions and by agencies in determining whether a person performing work for or on behalf of the Federal Government under a contract should be deemed eligible for logical or physical access.
Emergency Justfication:
Subject: Request for an emergency extension for use of the SF 85 From: Donna L. McLeod, Executive Program Manager Policy, and Strategy & Business Transformation Office of Personnel Management- National Background Investigations Bureau Date: November 22, 2016 Request submitted for emergency extension for continued use of the SF 85. The form is due to expire on December 31, 2016. Emergency extension requested for reason noted below. Proposed changes to other Standard Forms will impact changes required to the SF 85. Specifically OPM has made recent changes to the Systems of Records Notice which will require modification to the routine uses as shown on the form. For this reason, an emergency extension is requested to allow adequate time to process changes to other forms and to consider inclusion on the SF 85, where appropriate. Requested expiration date: 6 months from approved.
Authorizing Statute(s):
EO: EO 10450 Name/Subject of EO: Security requirements for Government employment
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
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
SF 85 Questionnaire for Non-Sensitive Positions
SF 85
Questionnaire for Non-Sensitive Positions
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
55,040
55,040
0
0
0
0
Annual Time Burden (Hours)
27,520
27,520
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
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:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
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:
Michele DeMarion 724 794-5612 ext. 5274 Michele.DeMarion@opm.gov
Common Form ICR:
Yes
Description/Changes for Common Form Usage:
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
CFPB
201612-3170-004CF
CFPB's use of SF-85 Questionnaire for Non-Sensitive Positions
Historical Active
SF 85 Questionnaire for Non-Sensitive Positions
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:
11/22/2016
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