This approval is
for 3 months. If you wish to extend the clearance you must provide
the following information: All revisions of the statute with
relevant parts indicated, indicate in the supporting statement the
justification for the need of this form, what importance it has in
the context of total security check on an employee, what quality
checks are done on the accuracy of the reported information and how
this information is used. What would be the consequence of not
collecting the information on this form? Also indicate how data
from the form are processed and how frequently it is used.
Inventory as of this Action
Requested
Previously Approved
01/31/1982
01/31/1982
12/31/1981
286
0
286
71
0
71
0
0
0
E.O. 10450 SETS FORTH STANDARDS FOR
THE CONDUCT OF PERSONNEL SECURITY INVESTIGATIONS, TO ENSURE THE
EMPLOYMENT OR RETENTION OF AN EMPLOYEE IS CONSISTENT WITH INTERESTS
OF NATIONAL SECURITY. INFORMATION COLLECTED IS USED TO DETERMINE
SUITABILITY FOR EMPLOYMENT.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.