View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0279	ICR Reference No: 202505-0990-001CF
Status: Active	Previous ICR Reference No: 202402-0990-001CF
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Personnel Vetting Questionnaire (PVQ)
Type of Information Collection: RCF Recertification	Common Form ICR:
Type of Review Request:
OIRA Conclusion Action: Approved	Conclusion Date: 05/01/2025
	Date Received in OIRA: 05/01/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2025	6 Months From Approved	11/30/2026
Responses	25,000	0	25,000
Time Burden (Hours)	61,000	0	61,048
Cost Burden (Dollars)	1,343,611	0	1,343,611

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	, , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	25,000	25,000	0
Annual Time Burden (Hours)	61,000	61,048	-48
Annual Cost Burden (Dollars)	1,343,611	1,343,611	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:

Annual Cost to Federal Government:

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? No

Agency Contact: Sherette Funn-Coleman

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