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Agency Information Collection Activity Under OMB Review (Police Officer Pre-Employment Screening Checklist)

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Office of Operations, Security, and Preparedness, Department of Veterans Affairs.




The Office of Operations, Security, and Preparedness (OSP), Department of Veterans Affairs is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension without change of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to determine an applicant's qualification and suitability as a VA police officer.


Written comments and recommendations on the proposed collection of information should be received on or before January 30, 2017.


Submit written comments on the collection of information through the Federal Docket Management System (FDMS) at;​ or to Harry Brist, Office of Operations, Security, and Preparedness, Department of Veterans Affairs, LETC, 2200 Fort Root Drive, Little Rock, AR 72114 or email:

Please refer to “OMB Control No. 2900-0524 (Police Officer Pre-Employment Screening Checklist)” in any correspondence. During the comment period, comments may be viewed online through FDMS.

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Cynthia Harvey-Pryor,, (202) 461-5870 or FAX (202) 632-8925.

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Under the PRA of 1995 (Pub. L. 104-13; 44 U.S.C. 3501-3521), Federal agencies must obtain approval from OMB for each collection of information they conduct or sponsor. This request for comment is being made pursuant to Section 3506(c)(2)(A) of the PRA.

With respect to the following collection of information, OSP invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of OSP's functions, including whether the information will have practical utility; (2) the accuracy of OSP's estimate of the burden of the proposed collection of information; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or the use of other forms of information technology.

Title: VA Police Officer Pre-Employment Screening Checklist (VA Form 0120).

OMB Control Number: 2900-0524.

Type of Review: Extension of a currently approved collection.

Abstract: VA personnel complete VA Form 0120 to document pre-employment history and conduct background checks on applicants seeking employment as VA police officers. VA will use the data collected to determine the applicant's Start Printed Page 86074qualification and suitability to be hired as a VA police officer.

Affected Public: State, Local, or Tribal Government.

Estimated Annual Burden: 250.

Estimated Average Burden per Respondent: 10 minutes.

Frequency of Response: One time.

Estimated Number of Respondents: 1500.

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By direction of the Secretary.

Cynthia Harvey-Pryor,

Program Specialist, Office of Privacy and Records Management, Department of Veterans Affairs.

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[FR Doc. 2016-28580 Filed 11-28-16; 8:45 am]