View RCF  - OIRA Conclusion

202506-1405-002CF 202505-1405-002CF
Active 06/30/2028
STATE/AFA
3206-0279 202505-3206-003
DS Request for Security Forms Usage
RCF Recertification
 Approved   06/09/2025
Retrieve Notice of Action (NOA) 06/09/2025
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
Personnel Vetting Questionnaire 18,000 43,920 967,400 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
Form and Instruction 3206-0276 PVA Part A

  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 18,000 0 0 0 0
Annual Time Burden (Hours) 43,920 43,920 0 0 0 0
Annual Cost Burden (Dollars) 967,400 967,400 0 0 0 0

Yes
Miscellaneous Actions
No