View RCF  - OIRA Conclusion

202402-1405-002CF
Active 11/30/2026
STATE/AFA
3206-0279 202302-3206-005
DS Request for Security Forms Usage
RCF New
 Approved without change   02/27/2024
Retrieve Notice of Action (NOA) 02/27/2024
This personnel vetting form will be used by the Department of State, Bureau of Diplomatic Security, pursuant to the Secretary of State’s security responsibilities under the Omnibus Diplomatic Security and Antiterrorism Act of 1986, as amended (22 U.S.C. 4802, et seq.), 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 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 will also be used by the Department of State in making ongoing trust determinations associated with an individual’s 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.
None
 
Lorri Priebe 202 984-1621

IC Title Status Responses Hours Dollars Document Type Form No. Form Name

  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 18,000 0 0 18,000 0 0
Annual Time Burden (Hours) 43,954 0 0 43,954 0 0
Annual Cost Burden (Dollars) 967,400 0 0 967,400 0 0

Yes
Miscellaneous Actions
No
State Department is requesting usage of this form and the numbers required for State department are different from the numbers required for OPM