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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:
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:
Regular
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
36 Months From Approved
Responses
5,258
0
0
Time Burden (Hours)
12,840
0
0
Cost Burden (Dollars)
282,588
0
0
Abstract:
OPM has consolidated several collections of information used to determine suitability for Federal employment, fitness to perform work for or on behalf of the Federal government, eligibility to occupy a national security sensitive position, eligibility for access to classified information, and/or eligibility for a Federal credential for access to Federal facilities or space and Federal logical systems. With this new common form, respondents will only fill out questions associated with their position risk and sensitivity. The common form replaces the forms known as the Standard Form 86, Questionnaire for National Security Positions [OMB Control Number3206-0005], the Standard Form 85P, Questionnaire for Public Trust Positions and the Standard Form 85P-S, Supplemental Questionnaire for Selected Positions [OMB Control Number 3206-0258], and the Standard Form 85, Questionnaire for Non-Sensitive Positions [OMB Control Number 3206-0261].
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:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
87 FR 71700
11/23/2022
30-day Notice:
Federal Register Citation:
Citation Date:
88 FR 12703
02/28/2023
Did the Agency receive public comments on this ICR?
Yes
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
PVQ Part A
,
PVQ Part B
,
PVQ Part C
,
PVQ Part D
,
PVQ Certification and Releases
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
5,258
0
0
5,258
0
0
Annual Time Burden (Hours)
12,840
0
0
12,840
0
0
Annual Cost Burden (Dollars)
282,588
0
0
282,588
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:
$1,040,729,264
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:
Charles Conyers 202 606-0125 charles.conyers@opm.gov
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
DOJ/ATF
202402-1140-003CF
3206-0279
Active
Personnel Vetting Questionnaire , 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
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
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
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
DOI/BIA
202401-1076-001CF
BIA, BIE, & Assistant Secretary for Indian Affairs Usage of the Personnel Vetting Questionnaire (PVQ).
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
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
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
GSA
202405-3090-001CF
Personnel Vetting Questionnaire (PVQ) for GSA
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
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