"Department of Defense Security Agreement", "Appendage to Department of Defense Security Agreement", "Certificate Pertaining to Foreign Interests"

ICR 201607-0704-003

OMB: 0704-0194

Federal Form Document

ICR Details
0704-0194 201607-0704-003
Historical Active 200803-0704-002
DOD/DODDEP
"Department of Defense Security Agreement", "Appendage to Department of Defense Security Agreement", "Certificate Pertaining to Foreign Interests"
Reinstatement with change of a previously approved collection   No
Regular
Approved with change 09/08/2016
Retrieve Notice of Action (NOA) 07/25/2016
This collection is approved based on the revised materials provided by DOD.
  Inventory as of this Action Requested Previously Approved
09/30/2019 36 Months From Approved
6,851 0 0
4,171 0 0
182,702 0 0

The execution of the DD Forms 441, 441-1 and SF 328 are factors in making a determination as to whether a contractor is eligible to have a facility security clearance. They are also a legal basis for imposing National Security Program (NISP) security requirements on eligible contractors.

EO: EO 12829 Name/Subject of EO: National Industrial Security Program
  
None

Not associated with rulemaking

  80 FR 27938 05/15/2015
81 FR 47790 07/22/2016
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 6,851 0 0 1,569 0 5,282
Annual Time Burden (Hours) 4,171 0 0 -3,663 0 7,834
Annual Cost Burden (Dollars) 182,702 0 0 -904,821 0 1,087,523
No
Yes
Miscellaneous Actions
An adjustment reflecting a change in burden hours was made based on the volume in forms submitted causing new estimates. Capital/Start up and Annualized Costs to Industry reflects a change, due to the estimated proportionate cost for the contractor’s purchase and/or maintenance of associated software and hardware in order to complete the forms. Adjustments in cost to the government are related to the estimated cost to receive and initially review the forms due to the full implementation of e-FCL, reduced paper usage and volume in version of forms submitted. This is a reinstatement with change of a collection previously approved by OMB.

$459,607
No
No
No
No
No
Uncollected
Caitlyn Borghi 571 372-0492 caitlyn.a.borghi.ctr@mail.mil

  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.
07/25/2016


© 2024 OMB.report | Privacy Policy