Investigative Forms

ICR 201711-1530-001

OMB: 1530-0060

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2017-11-22
IC Document Collections
IC ID
Document
Title
Status
181471 Modified
ICR Details
1530-0060 201711-1530-001
Historical Active 201501-1530-003
TREAS/FISCAL
Investigative Forms
Revision of a currently approved collection   No
Regular
Approved without change 07/02/2018
Retrieve Notice of Action (NOA) 11/27/2017
  Inventory as of this Action Requested Previously Approved
07/31/2020 36 Months From Approved 06/30/2018
750 0 750
125 0 125
0 0 0

Information requested is in support of background investigations conducted by the Bureau of the Fiscal Service

EO: EO 12968 Name/Subject of EO: Access to Classified Information
   US Code: 5 USC Section 301 Name of Law: null
   EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employment
   EO: EO 13467 Name/Subject of EO: Reforming Processes Related to Suitability for Government Employment, Fitness for Contractor Employe
  
None

Not associated with rulemaking

  82 FR 43820 09/19/2017
82 FR 56117 11/27/2017
No

  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 750 750 0 0 0 0
Annual Time Burden (Hours) 125 125 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,662
No
    Yes
    Yes
No
No
No
Uncollected
Bruce Sharp 304 480-8112 Bruce.Sharp@bpd.treas.gov

  No

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.
11/27/2017


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