National Defense University Security Office Forms

Forms and Documents

Document Name	Status
NDU Security In-Process Form Form	Unchanged
NDU Nomination for NACI Form Form	Modified
0704-0622_SSA_11.12.24.docx Supporting Statement A	2024-11-12
DUSDI-02-DoD_SORN for HSPD-12.pdf Supplementary Document	2024-10-29
NDU Connect_ SSNJ Decision Memo_Approved.pdf Supplementary Document	2024-10-29
DD2930 NDU_NEIS PIA 2023 NOV_Final_Section 1.pdf Supplementary Document	2024-10-29

IC Document Collections

IC ID	Document Title	Status
247867	NDU Security In-Process Form Form	Unchanged
247860	NDU Nomination for NACI Form Form	Modified

ICR Details

OMB Control No: 0704-0622	ICR Reference No: 202407-0704-002
Status: Received in OIRA	Previous ICR Reference No: 202106-0704-004
Agency/Subagency: DOD/DODDEP	Agency Tracking No: 0704-NDUS
Title: National Defense University Security Office Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/12/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2024
Responses	225	225
Time Burden (Hours)	44	44
Cost Burden (Dollars)	782	743

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Abstract: Respondents to this collection are National Defense University (NDU) employees who must provide information to the NDU Security Office to facilitate essential personnel, facility, and information security functions. This includes information necessary to initiate a background investigation for CAC card issuance (NDU Nomination for NACI Form) and information for in-processing and PIV credentialing (NDU Security In-Process Form).

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Authorizing Statute(s): US Code: 10 USC 2163 Name of Law: Degree Granting Authority for National Defense University
   EO: EO 9397 Name/Subject of EO: Federal Agency Use of Social Security Numbers
   US Code: 10 USC 2165 Name of Law: National Defense University
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 56344	07/09/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 88747	11/08/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
NDU Nomination for NACI Form	N/A	National Defense University NBIS eApp Nomination Tier One Background Investigation Form
NDU Security In-Process Form	N/A	National Defense University Security In-Processing Request Form

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ICR Summary of Burden

	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	225	225	0	0	0	0
Annual Time Burden (Hours)	44	44	0	0	0	0
Annual Cost Burden (Dollars)	782	743	0	39	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $4,540

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/12/2024

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