202503-3263-001CF RCF OMB: 3206-0279
OMB.report
OMB 3206-0279
RCF 202503-3263-001CF
( RCF New )
Array
(
[refNbr] => 202503-3263-001CF
[obm] => 3206-0279
[icr] => 202302-3206-005
[status] => Active
[agency] => ABMC
[title] => Personnel Vetting Questionnaire (PVQ)
[typeRCF] => RCF New
[oiraAction] => Approved without change
[oiraNOA] => 1160961
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] => ABMC20250313-1
[conclusionDate] => 2025-03-14
[dateReceived] => 2025-03-14
)
Document
View RCF
- OIRA Conclusion
RCF ID: 202503-3263-001CFPrevious RCF ID:
Status:
Active
Expiration Date: 11/30/2026
Agency/Subagency: ABMCAgency Tracking No: ABMC20250313-1
Host OMB Control No: 3206-0279Host ICR Reference No: 202302-3206-005
Title: Personnel Vetting Questionnaire (PVQ)
Type of RCF: RCF New
OIRA Conclusion Action: Approved without changeConclusion Date:
03/14/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/14/2025
Terms of Clearance:
Description of Agency Usage:
The Personnel Vetting Questionnaire form will be used for personnel security background investigations, conducted under DCSA, as a replacement for the SF85/85P-86 forms.
Authorizing Statute(s):
None
Annual Cost to Federal Government: $25,000
Agency Contact:
Roberto Dominguez 703 696-6615 dominguezr@abmc.gov
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Personnel Vetting Questionnaire
20
49
1,075
Form and Instruction
3206-NEW
PVQ Part A
Form and Instruction
3206-NEW
PVQ Part B
Form and Instruction
3206-NEW
PVQ Part C
Form and Instruction
3206-NEW
PVQ Part D
Form and Instruction
3206-NEW
PVQ Certification and Releases
Instruction
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
20
0
0
20
0
0
Annual Time Burden (Hours)
49
0
0
49
0
0
Annual Cost Burden (Dollars)
1,075
0
0
1,075
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Request by OPM to use this form for personnel vetting