Information Collection Request

Supplemental Investigative Data

ICR 201101-1620-001 · OMB 1620-0001 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Form SSF 86A Supplemental Investigative Data Form and Instruction Modified Available
86a-SUPP10.doc Supporting Statement A Uploaded 2011-01-12 Available
non-duplication justification.docx Supplementary Document Uploaded 2011-01-12 Available
SSF86A.pdf Supplementary Document Uploaded 2011-01-12 Available
86A 60-Day FR Notice 10_8_10.pdf Supplementary Document Uploaded 2011-01-10 Available
86A 30-Day FR Notice 12_23_10.pdf Supplementary Document Uploaded 2011-01-10 Available
Title 18_1001.pdf Supplementary Document Uploaded 2006-08-25 Available
Title 31.pdf Supplementary Document Uploaded 2006-08-25 Available
Treasury Directive 71-10.pdf Supplementary Document Uploaded 2006-08-25 Available
EO 12333.pdf Supplementary Document Uploaded 2006-08-25 Available
EO 12958.pdf Supplementary Document Uploaded 2006-08-25 Available
EO 12968.pdf Supplementary Document Uploaded 2006-08-25 Available
EO 10450.pdf Supplementary Document Uploaded 2006-08-25 Available
Title 18_3056.pdf Supplementary Document Uploaded 2006-08-25 Repair queued
Title 5_552.pdf Supplementary Document Uploaded 2006-08-25 Available
5 USC Authority301.pdf Supplementary Document Uploaded 2006-08-25 Available
IC Document Collections
IC IDCollectionTypeStatusForm
20434 Supplemental Investigative Data Form and Instruction Modified
ICR Details
1620-0001 201101-1620-001
Historical Inactive 200909-1620-001
DHS/USSS
Supplemental Investigative Data
Extension without change of a currently approved collection   No
Regular
Withdrawn and continue 04/25/2011
Retrieve Notice of Action (NOA) 01/13/2011
DHS has requested to withdraw this collection request.
  Inventory as of this Action Requested Previously Approved
01/31/2011 36 Months From Approved 04/30/2011
10,000 0 10,000
30,000 0 30,000
0 0 0

All Secret Service employees require a Top Secret clearance, and over 60% require Sensitive Compartmented Information (SCI) Access. Because of this requirement, the Secret Service conducts a more extensive background investigation than the standard Office of Personnel Management regulated Single-Scope Background Investigation (SSBI) required for the granting of a Top Secret clearance. Secret Service Form (SSF) 86A, Supplemental Investigative Data, which is completed during the application process, provides additional information to the data collected from SF 86, Questionnaire for National Security Positions to aide in granting a Top Secret clearance.

US Code: 18 USC 3056 Name of Law: Powers, Authorities, and duties of United States Secret Service
   US Code: 5 USC 301 Name of Law: Departmental Regulations
   EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employees
   EO: EO 12333 Name/Subject of EO: United States Intelligence Activities
   EO: EO 12958 Name/Subject of EO: Classified National Security Information
   EO: EO 12968 Name/Subject of EO: Access to Classified Information
   US Code: 5 USC 552 Name of Law: Public Information; Agency Rules, Opinions, Orders, Records, and Proceedings
   US Code: 18 USC 1001 Name of Law: Statements of entries generally
  
None

Not associated with rulemaking

  75 FR 62409 10/08/2010
75 FR 80834 12/23/2010
No

1
IC Title Form No. Form Name
Supplemental Investigative Data SSF 86A Supplemental Investigative Data

No
No

$0
No
No
No
No
No
Uncollected
Nancy House 202 406-6888 [email protected]

  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.
01/13/2011