OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

SF 85 Questionnaire for Non-Sensitive Positions

ICR 201611-3206-004 · OMB 3206-0261 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SF 85 SF 85 Questionnaire for Non-Sensitive Positions Form and Instruction Unchanged Available
SF 85 (OMB 3206-0261)-- Emergency Extension (EE) Request 11-22-16_ ROCIS.docx Supplementary Document Uploaded 2016-11-22 Repair queued
2013-23833.pdf Supplementary Document Uploaded 2013-09-30 Repair queued
SF 85 Supporting Statement.doc Supporting Statement A Uploaded 2013-09-30 Repair queued
Sf 85 60 Day FRN, Vol. 78, No. 138, Thursday, July 18, 2013, Pages 42982-42983.pdf Supplementary Document Uploaded 2013-08-06 Available
IC Document Collections
IC IDCollectionTypeStatusForm
207780 SF 85 Questionnaire for Non-Sensitive Positions Form and Instruction Unchanged
ICR Details
3206-0261 201611-3206-004
Historical Active 201307-3206-006
OPM
SF 85 Questionnaire for Non-Sensitive Positions
Extension without change of a currently approved collection   Yes
Emergency 11/22/2016
Approved without change 12/22/2016
Retrieve Notice of Action (NOA) 11/22/2016
This collection is approved for 6 months only.
  Inventory as of this Action Requested Previously Approved
06/30/2017 6 Months From Approved 12/31/2016
55,040 0 55,040
27,520 0 27,520
0 0 0
This NEW package, unbundled from the SF 86 (OMB 3206-0005) transmits a 30 Day Notice request for clearance for the Federal Register publication notice of a request for review of the SF 85. The SF 85 is completed by civilian employees of the Federal Government, military personnel, and non-federal employees, including Federal contractors and individuals otherwise not directly employed by the Federal Government but who perform work for or on behalf of the Federal Government. For applicants, the SF 85 is to be used only after a conditional offer of employment has been made. The collection is used as the basis of information by the Federal Government in conducting background investigations, of persons under consideration for non-sensitive positions and by agencies in determining whether a person performing work for or on behalf of the Federal Government under a contract should be deemed eligible for logical or physical access.
Subject: Request for an emergency extension for use of the SF 85 From: Donna L. McLeod, Executive Program Manager Policy, and Strategy & Business Transformation Office of Personnel Management- National Background Investigations Bureau Date: November 22, 2016 Request submitted for emergency extension for continued use of the SF 85. The form is due to expire on December 31, 2016. Emergency extension requested for reason noted below. Proposed changes to other Standard Forms will impact changes required to the SF 85. Specifically OPM has made recent changes to the Systems of Records Notice which will require modification to the routine uses as shown on the form. For this reason, an emergency extension is requested to allow adequate time to process changes to other forms and to consider inclusion on the SF 85, where appropriate. Requested expiration date: 6 months from approved.
EO: EO 10450 Name/Subject of EO: Security requirements for Government employment
  
None
Not associated with rulemaking
No
1
IC Title Form No. Form Name
SF 85 Questionnaire for Non-Sensitive Positions SF 85 Questionnaire for Non-Sensitive Positions
  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 55,040 55,040 0 0 0 0
Annual Time Burden (Hours) 27,520 27,520 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
No
No
No
No
No
Uncollected
Michele DeMarion 724 794-5612 ext. 5274 [email protected]
  Yes
 
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title
CFPB 201612-3170-004CF CFPB's use of SF-85 Questionnaire for Non-Sensitive Positions Historical Active SF 85 Questionnaire for Non-Sensitive Positions
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.
11/22/2016