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:
0705-0003
ICR Reference No:
202104-0705-002
Status:
Historical Active
Previous ICR Reference No:
201909-0705-003
Agency/Subagency:
DOD/OUSDI
Agency Tracking No:
Title:
Federal Background Investigation and Personnel Vetting Investigative Request Forms (INV 40-44)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
10/04/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/30/2021
Terms of Clearance:
This collection is approved based on the revised materials provided by the Department.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2024
36 Months From Approved
10/31/2021
Responses
2,591,229
0
5,682,744
Time Burden (Hours)
215,936
0
473,562
Cost Burden (Dollars)
1,565,534
0
0
Abstract:
As noted in the DUSDI-02 Personnel Vetting Records System SORN, the INV 40, 41, 42, 43, and 44 are used to collect information from a multitude of record sources to support federal background investigation and personnel vetting processes such as: investigations and determinations of eligibility for access to classified national security information, and for access to special access programs; suitability for federal employment; fitness of contractor personnel to perform work for or on behalf of the U.S. Government; and Homeland Security Presidential Directive (HSPD)-12 determinations for Personal Identity Verification (PIV) credentials to gain logical or physical access to government facilities and systems. Section 925 of Public Law 115ยท91; 5 U.S.C. 301, and Executive Order 13467, as amended by Executive Order 13869 authorize the collection of information. The content of the INV forms is also designed to meet notice requirements for personnel investigations specified by 5 C.F.R. 736.102(c). These notice requirements apply to any "investigation . . . to determine the suitability, eligibility, or qualifications of individuals for Federal employment, for work on Federal contracts, or for access to classified information or restricted areas." None of the forms are used for any purpose other than a personnel background investigation, as described above. The INV 40 is used to collect records from a Federal or State record repository or a credit bureau. The INV 44 is used to collect law enforcement data from a criminal justice agency. The INV 41, 42, and 43 are sent to employment references, associates, and educational institutions, respectively.
Authorizing Statute(s):
EO: EO 12968 Name/Subject of EO: ACCESS TO CLASSIFIED INFORMATION
EO: EO 10577 Name/Subject of EO: Amending the Civil Service Rules and authorizing a new appointment system for the competitive servic
EO: EO 10450 Name/Subject of EO: Security requirements for Government employment
US Code:
5 USC CFR 731
Name of Law: SUITABILITY
US Code:
5 USC CFR 732
Name of Law: NATIONAL SECURITY POSITIONS
US Code:
5 USC CFR 9101
Name of Law: PROCEDURES FOR STATES AND LOCALITIES TO REQUEST INDEMNIFICATION
EO: EO 13869 Name/Subject of EO: Transferring Responsibility for Background Investigations to the Department of Defense
US Code:
5 USC CFR 736
Name of Law: Title 5 Admin. Personnel
PL:
Pub.L. 115 - 91 925
Name of Law: Solicitation of Information Including Social Security Number
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:
86 FR 24600
05/07/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 48130
08/27/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
General Request for Investigative Information (INV 40)
INV Form 40
General Request for Investigative Information
General Request for Investigative Information, Investigation Request for Employment Data and Supervisor Information, Investigative Request for Personal Information, Investigative...
INV 40, 41, 42, 43, and 44
Investigative Request for Information, Employment Data and Supervisor Information, Personal Information, Educational Registrar and Dean of Students Record Data, and Law Enforcement Data
Investigative Request for Educational Registrar and Dean of Students Record Data (INV 43)
INV Form 43
Investigative Request for Educational Registrar and Dean of Students Record Data
Investigative Request for Employment Data and Supervisor Information (INV 41)
INV Form 41
Investigative Request for Employment Data and Supervisor Information
Investigative Request for Law Enforcement Data (INV 44)
INV Form 44
Investigative Request for Law Enforcement Data
Investigative Request for Personal Information (INV 42)
INV Form 42
Investigative Request for Personal Information
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
2,591,229
5,682,744
0
2,591,229
-5,682,744
0
Annual Time Burden (Hours)
215,936
473,562
0
215,936
-473,562
0
Annual Cost Burden (Dollars)
1,565,534
0
0
1,565,534
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:
The burden has decreased since the previous approval due to changes in the amount of and types of background investigations being requested and completed. However, the cost burden estimate has increased because it was not previously reported.
Annual Cost to Federal Government:
$5,597,054
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:
Stepheny Fanning 571 305-6685 stepheny.l.fanning.civ@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:
08/30/2021
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