OMB
.report
Search
Form CSO-005, Preliminary Background Check Form
CSO-005 - Preliminary Background Check Form
OMB: 1105-0105
IC ID: 231179
OMB.report
DOJ/LA
OMB 1105-0105
ICR 202412-1105-001
IC 231179
( )
Documents and Forms
Document Name
Document Type
Form CSO-005
Form CSO-005, Preliminary Background Check Form
Form and Instruction
CSO-005 Preliminary Background Check Form
cso005-rev.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Form CSO-005, Preliminary Background Check Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
CSO-005
Preliminary Background Check Form
cso005-rev.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
OPM/Govt-1, General Personnel Records
FR Citation:
76 FR 32997
Number of Respondents:
750
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
750
0
0
0
750
0
Annual IC Time Burden (Hours)
1,125
0
0
0
1,125
0
Annual IC Cost Burden (Dollars)
14,651
0
0
0
14,651
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.