White House Communications Agency Security Screening Questionnaire

ICR 202107-0704-012

OMB: 0704-0507

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2021-09-20
Supporting Statement A
2021-09-28
Supplementary Document
2021-09-15
Supplementary Document
2021-09-15
IC Document Collections
ICR Details
0704-0507 202107-0704-012
Received in OIRA 201806-0704-004
DOD/DODDEP
White House Communications Agency Security Screening Questionnaire
Revision of a currently approved collection   No
Regular 09/28/2021
  Requested Previously Approved
36 Months From Approved 10/31/2021
150 150
38 38
1,437 1,437

The information collection is necessary to obtain, track and record the personnel security data, training information and travel history within White House Military Office (WHMO) and the White House Communications Agency (WHCA).

EO: EO 11652 Name/Subject of EO: Classification and Declassification of National Security Information and Material
   EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employment
   EO: EO 9397 Name/Subject of EO: Use of Social Security Numbers
  
None

Not associated with rulemaking

  86 FR 39012 07/23/2021
86 FR 53288 09/23/2021
No

  Total Request 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 150 150 0 0 0 0
Annual Time Burden (Hours) 38 38 0 0 0 0
Annual Cost Burden (Dollars) 1,437 1,437 0 0 0 0
No
No

$1,500
No
    Yes
    Yes
No
No
No
No
Rodney McCall 703 697-5936 rodney.d.mccall.civ@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.
09/28/2021


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