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:
3206-0279
ICR Reference No:
202302-3206-005
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
OPM
Agency Tracking No:
Title:
Personnel Vetting Questionnaire
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
Yes
Type of Review Request:
OIRA Conclusion Action:
Approved with change
Conclusion Date:
11/15/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/28/2023
Terms of Clearance:
This collection is approved based on the revised materials provided by the Agency.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2026
Responses
4,000
0
0
Time Burden (Hours)
9,768
0
0
Cost Burden (Dollars)
214,978
0
0
Abstract:
Authorizing Statute(s):
EO: EO 13764 Name/Subject of EO: Amending the Civil Service Rules, Executive Order 13488, and Executive Order 13467 to Modernize the
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Personnel Vetting Questionnaire
3206-NEW, 3206-NEW, 3206-NEW, 3206-NEW, 3206-NEW
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
4,000
0
0
4,000
0
0
Annual Time Burden (Hours)
9,768
0
0
9,768
0
0
Annual Cost Burden (Dollars)
214,978
0
0
214,978
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:
PERSONNEL VETTING QUESTIONNAIRE (Replacing SF86, SF 85P, SF 85P-S, SF 85) and becomes Common Form
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
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.
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.
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Common Form ICR:
Yes
OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 10 calendar days from the date the agency's RCF including the common form was received in OIRA.
Description/Changes for Common Form Usage:
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
DOT/OST
202405-2105-006CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
HUD/HUDSEC
202410-2501-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
DOJ/ATF
202402-1140-003CF
3206-0279
Active
Personnel Vetting Questionnaire , Personnel Vetting Questionnaire
FCC
202407-3060-003CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
DHS/OS
202405-1601-002CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
STATE/AFA
202405-1405-001CF
Request for PVQ Use
Active
Personnel Vetting Questionnaire
NCUA
202407-3133-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
PEACE
202402-0420-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
NARA
202502-3095-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
OGE
202503-3209-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
NGA
202412-3100-001CF
RCF for PVQ Control #3206-0279
Active
Personnel Vetting Questionnaire
NTSB
202503-3147-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
NASA
202402-2700-002CF
NASA Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
USDA/AgSEC
202404-0503-001CF
Personnel Vetting Questionnaire (PVQ) for USDA
Active
Personnel Vetting Questionnaire
FERC
202406-1902-001CF
OPM Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
CPSC
202403-3041-001CF
CPSC Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
SSA
202405-0960-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
DOC/OS
202408-0690-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
RRB
202405-3220-002CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
SBA
202404-3245-003CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
FDIC
202409-3064-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
LOC/USCO
202409-3471-001CF
Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
CFPB
202409-3170-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
DOJ/DOJADM
202407-1103-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
USAGM
202407-3112-001CF
USAGM Use of OPM Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
MCC
202409-0414-005CF
Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
DOI/BIA
202401-1076-001CF
BIA, BIE, & Assistant Secretary for Indian Affairs Usage of the Personnel Vetting Questionnaire (PVQ).
Active
Personnel Vetting Questionnaire
202503-3222-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
FTC
202403-3084-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
PBGC
202404-1212-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
FMCS
202405-3076-001CF
Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
HHS/HHSDM
202402-0990-001CF
Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
DOD/OUSDI
202403-0705-002CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
SEC
202501-3235-001CF
Request to Use Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
OSC
202504-3255-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
DOL/DM
202401-1225-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
DOE/DOEOA
202403-1910-004CF
DOE- Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
ODNI
202407-3440-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
NSF
202410-3145-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire , Personnel Vetting Questionnaire
CFTC
202401-3038-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
STATE/AFA
202402-1405-002CF
DS Request for Security Forms Usage
Active
Personnel Vetting Questionnaire
TREAS/DO
202402-1505-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
NRC
202406-3150-001CF
Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
AID
202412-0412-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
EEOC
202503-3046-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
USAGM
202409-3112-001CF
USAGM RCF - OPM Security Questionnaire
Active
Personnel Vetting Questionnaire
GSA
202405-3090-001CF
Personnel Vetting Questionnaire (PVQ) for GSA
Active
Personnel Vetting Questionnaire
FRS
202409-7100-001CF
Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
MKU-SLUF
202502-3320-001CF
Request for OMB personnel vetting questionnaire form
Active
Personnel Vetting Questionnaire
VA
202407-2900-002CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
NLRB
202407-3142-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
EPA/AdmO
202407-2090-001CF
EPA use of Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
DOT/FAA
202404-2120-001CF
Request OMB Approval to Use the Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
ED/OS
202502-1894-006CF
Common Forms for Background Investigations
Active
Personnel Vetting Questionnaire
DOI/OS
202502-1093-001CF
DOI-wide (ASIA, BIA, and BIE not included) Usage of Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
ATBCB
202502-3014-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
USPS/USPIS
202501-3213-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
MSPB
202501-3124-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
CNCS
202502-3045-003CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
ABMC
202503-3263-001CF
Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
GPO
202503-3700-001CF
Personnel Vetting Questionnaire
Active
Personnel Vetting Questionnaire
ITC
202504-3117-001CF
Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
IBWC
202504-1410-001CF
Personnel Vetting Questionnaire (PVQ)
Active
Personnel Vetting Questionnaire
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:
02/28/2023
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