View RCF  - OIRA Conclusion

202402-0990-001CF
Active 11/30/2026
HHS/HHSDM
3206-0279 202302-3206-005
Personnel Vetting Questionnaire (PVQ)
RCF New
 Approved without change   02/29/2024
Retrieve Notice of Action (NOA) 02/29/2024
This personnel vetting form will be used by HHS in conducting personnel vetting investigations for persons under consideration for, or retention in low risk, public trust, or national security positions as defined in 5 CFR 731 and 5 CFR 1400, as well as for individuals requiring eligibility for access to classified information under Executive Order 12968, as amended. This form will also be used by HHS in determining whether an individual performing work for, or on behalf of, the U.S. Government under a contract should be deemed fit to perform the duties and eligible for logical or physical access when duties to be performed by an employee of a contractor are equivalent to the duties performed by an employee in a low risk position, a public trust position or when the nature of the work to be performed is sensitive and could bring about an adverse effect on national security. This form may also be used for making ongoing trust determinations for suitability or fitness for Federal employment, fitness for contract employment, eligibility for access to classified information or to hold a sensitive position, or eligibility for physical and logical access to federally controlled facilities or information systems.
EO: EO 12968 Name/Subject of EO: Access to Classified Information
 
Sherette Funn-Coleman

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Personnel Vetting Questionnaire 25,000 61,048 1,343,611 Form and Instruction 3206-NEW PVQ Part A
Form and Instruction 3206-NEW PVQ Part B
Form and Instruction 3206-NEW PVQ Part C
Form and Instruction 3206-NEW PVQ Part D
Form and Instruction 3206-NEW PVQ Certification and Releases
Instruction

  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 25,000 0 0 25,000 0 0
Annual Time Burden (Hours) 61,048 0 0 61,048 0 0
Annual Cost Burden (Dollars) 1,343,611 0 0 1,343,611 0 0

Yes
Miscellaneous Actions
No
There is no burden decrease or reduction action this is a request to use a new form