Information Collection

VBA Contractor Background Investigation Request (VA Form 20-10276)

IC 253236 under ICR 202204-2900-016 · OMB 2900-0915.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0915 can be found here:

Documents and Forms

Document Name Document Type
Form 20-10276 VBA Contractor Background Investigation Request (VA Form 20-10276) Form
20-10276 VBA Contractor Background Investigation Request VA Form 20-10276 (508 Conformant - 3-28-22).pdf vaww.va.gov/vaforms Form
20-10276 VBA Contractor Background Investigation Request VA Form 20-10276 (508 Conformant - 3-28-22).pdf vaww.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	VBA Contractor Background Investigation Request (VA Form 20-10276)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 731

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	20-10276	VBA Contractor Background Investigation Request	VA Form 20-10276 (508 Conformant - 3-28-22).pdf	vaww.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: Police and Security Records - VA (103VA07B)	FR Citation: 73 FR 74580

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.