View Information Collection Request (ICR) Package

OMB Control No: 3206-0279	ICR Reference No: 202504-3206-002
Status: Historical Active	Previous ICR Reference No: 202302-3206-005
Agency/Subagency: OPM	Agency Tracking No:
Title: Personnel Vetting Questionnaire
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: Yes
Type of Review Request: Emergency	Approval Requested By: 04/30/2025
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/01/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/04/2025
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	11/30/2025	6 Months From Approved	11/30/2026
Responses	4,000	0	4,000
Time Burden (Hours)	9,768	0	9,768
Cost Burden (Dollars)	214,978	0	214,978

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].

Emergency Justfication: ROCIS workaround for nonsubstantive change in response to EO 14168

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
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
Personnel Vetting Questionnaire	3206-NEW, 3206-NEW, 3206-NEW, 3206-NEW, 3206-0276	PVQ Part B , PVQ Part C , PVQ Part D , PVQ Certification and Releases , PVA Part A

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	4,000	4,000
Annual Time Burden (Hours)	9,768	9,768
Annual Cost Burden (Dollars)	214,978	214,978

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: $0

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: Alexys Stanley 202 606-1183 alexys.stanley@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

View ICR - OIRA Conclusion