81_FR_20707 81 FR 20639 - Submission for OMB Review; Contractor Information Worksheet; GSA Form 850

81 FR 20639 - Submission for OMB Review; Contractor Information Worksheet; GSA Form 850

GENERAL SERVICES ADMINISTRATION

Federal Register Volume 81, Issue 68 (April 8, 2016)

Page Range20639-20640
FR Document2016-08146

Under the provisions of the Paperwork Reduction Act, the Regulatory Secretariat Division will be submitting to the Office of Management and Budget (OMB) a request to review and approve a previously approved information collection requirement, with changes, expanding the coverage of the information collection of the Contractor Information Worksheet; GSA Form 850. GSA requires OMB approval for this collection to make determinations on granting unescorted physical access to GSA-controlled facilities and/or logical access to GSA-controlled information systems. The approval is critical for GSA to continue following contractor onboarding processes required for working on GSA contracts. An updated System of Record Notice (SORN) was published in the Federal Register at 79 FR 47139, on August 12, 2014. A notice was published in the Federal Register at 80 FR 75864 on December 4, 2015. No comments were received.

Federal Register, Volume 81 Issue 68 (Friday, April 8, 2016) 
[Federal Register Volume 81, Number 68 (Friday, April 8, 2016)]
[Notices]
[Pages 20639-20640]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-08146]


-----------------------------------------------------------------------

GENERAL SERVICES ADMINISTRATION

[OMB Control No. 3090-0283; Docket 2015-0001; Sequence 16]


Submission for OMB Review; Contractor Information Worksheet; GSA 
Form 850

AGENCY: Identity, Credential, and Access Management (ICAM) Division, 
Office of Security, Office of Mission Assurance (OMA), General Services 
Administration (GSA).

ACTION: Notice of request for comments regarding an extension to an 
existing OMB clearance.

-----------------------------------------------------------------------

SUMMARY: Under the provisions of the Paperwork Reduction Act, the 
Regulatory Secretariat Division will be submitting to the Office of 
Management and Budget (OMB) a request to review and approve a 
previously approved information collection requirement, with changes, 
expanding the coverage of the information collection of the Contractor 
Information Worksheet; GSA Form 850.
    GSA requires OMB approval for this collection to make 
determinations on granting unescorted physical access to GSA-controlled 
facilities and/or logical access to GSA-controlled information systems. 
The approval is critical for GSA to continue following contractor 
onboarding processes required for working on GSA contracts. An updated 
System of Record Notice (SORN) was published in the Federal Register at 
79 FR 47139, on August 12, 2014. A notice was published in the Federal 
Register at 80 FR 75864 on December 4, 2015. No comments were received.

DATES: Submit comments on or before: May 9, 2016.

ADDRESSES: Submit comments regarding this burden estimate or any other 
aspect of this collection of information, including suggestions for 
reducing this burden to: Office of Information and Regulatory Affairs 
of OMB, Attention: Desk Officer for GSA, Room 10236, NEOB, Washington, 
DC 20503. Additionally submit a copy to GSA by any of the following 
methods:
     Regulations.gov: http://www.regulations.gov. Submit 
comments via the Federal eRulemaking portal by searching the OMB 
control number. Select the link ``Submit a Comment'' that corresponds 
with ``Information Collection 3090-0283, Contractor Information 
Worksheet; GSA Form 850''. Follow the instructions provided at the 
``Submit a Comment'' screen. Please include your name, company name (if 
any), and ``Information Collection 3090-0283, Contractor Information 
Worksheet; GSA Form 850'' on your attached document.
     Mail: General Services Administration, Regulatory 
Secretariat Division (MVCB), 1800 F Street NW., Washington, DC 20405. 
ATTN: Ms. Flowers/IC 3090-0283, Contractor Information Worksheet; GSA 
Form 850.
    Instructions: Please submit comments only and cite Information 
Collection 3090-0283, Contractor Information Worksheet; GSA Form 850, 
in all correspondence related to this collection. Comments received 
generally will be posted without change to http://www.regulations.gov, 
including any personal and/or business confidential information 
provided. To confirm receipt of your comment(s), please check 
www.regulations.gov, approximately two to three days after submission 
to verify posting (except allow 30 days for posting of comments 
submitted by mail).

FOR FURTHER INFORMATION CONTACT: Mr. Phil Ahn, Deputy Director, OMA 
Identity Credential and Access Management Division, GSA, telephone 202-
501-2447 or via email at [email protected].

SUPPLEMENTARY INFORMATION:

[[Page 20640]]

A. Purpose

    The U.S. Government conducts criminal checks to establish that 
applicants or incumbents working for the Government under contract may 
have unescorted access to federally controlled facilities. GSA uses the 
Contractor Information Worksheet; GSA Form 850, and digitally captured 
fingerprints to conduct a FBI National Criminal Information Check 
(NCIC) for each contractor's physical access determination to GSA-
controlled facilities and/or logical access to GSA-controlled 
information systems. Manual fingerprint card SF-87 is used for 
exception cases such as contractor's significant geographical distance 
from fingerprint enrollment sites.
    The Office of Management and Budget (OMB) Guidance M-05-24 for 
Homeland Security Presidential Directive (HSPD) 12, authorizes Federal 
departments and agencies to ensure that contractors have limited/
controlled access to facilities and information systems. GSA Directive 
CIO P 2181.1 Homeland Security Presidential Directive-12, Personal 
Identity Verification and Credentialing (available at http://www.gsa.gov/hspd12), states that GSA contractors must undergo a minimum 
of an FBI National Criminal Information Check (NCIC) to receive 
unescorted physical access to GSA-controlled facilities and/or logical 
access to GSA-controlled information systems.
    Contractors' Social Security Number is needed to keep records 
accurate, because other people may have the same name and birth date. 
Executive Order 9397, Numbering System for Federal Accounts Relating to 
Individual Persons, also allows Federal agencies to use this number to 
help identify individuals in agency records.

B. Annual Reporting Burden

    Respondents: 25,000.
    Responses per Respondent: 1.
    Total Annual Responses: 25,000.
    Hours per Response: .25.
    Total Burden Hours: 6,250.

C. Public Comments

    Public comments are particularly invited on: Whether this 
collection of information is necessary and whether it will have 
practical utility; whether our estimate of the public burden of this 
collection of information is accurate, and based on valid assumptions 
and methodology; ways to enhance the quality, utility, and clarity of 
the information to be collected.
    Obtaining Copies of Proposals: Requesters may obtain a copy of the 
information collection documents from the General Services 
Administration, Regulatory Secretariat Division (MVCB), 1800 F Street 
NW., Washington, DC 20405, telephone 202-501-4755. Please cite OMB 
Control No. 3090-0283, Contractor Information Worksheet; GSA Form 850 
in all correspondence. The form can be downloaded from the GSA Forms 
Library at http://www.gsa.gov/forms. Type GSA 850 in the form search 
field.

    Dated: March 31, 2016.
David A. Shive,
Chief Information Officer.
[FR Doc. 2016-08146 Filed 4-7-16; 8:45 am]
BILLING CODE 6820-34-P

Federal Register / Vol. 81, No. 68 / Friday, April 8, 2016 / Notices 20639 delivery of products or services. These Responses per Respondent: 1. systems. The approval is critical for collections will allow for ongoing, Total Annual Responses: 160,082. GSA to continue following contractor collaborative and actionable Hours per response: 3.8386 minutes. onboarding processes required for communications between the Agency Total Burden hours: 10,241. working on GSA contracts. An updated and its customers and stakeholders. It System of Record Notice (SORN) was C. Public Comments will also allow feedback to contribute published in the Federal Register at 79 directly to the improvement of program Public comments are particularly FR 47139, on August 12, 2014. A notice management. invited on: Whether this collection of was published in the Federal Register at Feedback collected under this generic information is necessary and whether it 80 FR 75864 on December 4, 2015. No clearance will provide useful will have practical utility; whether our comments were received. information, but it will not yield data estimate of the public burden of this that can be generalized to the overall DATES: Submit comments on or before: collection of information is accurate, population. This type of generic May 9, 2016. and based on valid assumptions and clearance for qualitative information methodology; ways to enhance the ADDRESSES: Submit comments regarding will not be used for quantitative quality, utility, and clarity of the this burden estimate or any other aspect information collections that are information to be collected. of this collection of information, designed to yield reliably actionable Obtaining Copies of Proposals: including suggestions for reducing this results, such as monitoring trends over Requesters may obtain a copy of the burden to: Office of Information and time or documenting program information collection documents from Regulatory Affairs of OMB, Attention: performance. the General Services Administration, Desk Officer for GSA, Room 10236, Such data uses require more rigorous Regulatory Secretariat Division (MVCB), NEOB, Washington, DC 20503. designs that address: The target 1800 F Street NW., Washington, DC Additionally submit a copy to GSA by population to which generalizations 20405, telephone 202–501–4755. Please any of the following methods: will be made, the sampling frame, the cite OMB Control No. 3090–0297, • Regulations.gov: http:// sample design (including stratification Generic Clearance for the Collection of www.regulations.gov. Submit comments and clustering), the precision Qualitative Feedback on Agency Service via the Federal eRulemaking portal by requirements or power calculations that Delivery, in all correspondence. searching the OMB control number. justify the proposed sample size, the Select the link ‘‘Submit a Comment’’ expected response rate, methods for Dated: March 31, 2016. David A. Shive, that corresponds with ‘‘Information assessing potential non-response bias, Collection 3090–0283, Contractor the protocols for data collection, and Chief Information Officer. Information Worksheet; GSA Form any testing procedures that were or will [FR Doc. 2016–08145 Filed 4–7–16; 8:45 am] 850’’. Follow the instructions provided be undertaken prior fielding the study. BILLING CODE 6820–34–P at the ‘‘Submit a Comment’’ screen. Depending on the degree of influence Please include your name, company the results are likely to have, such GENERAL SERVICES name (if any), and ‘‘Information collections may still be eligible for ADMINISTRATION Collection 3090–0283, Contractor submission for other generic Information Worksheet; GSA Form 850’’ mechanisms that are designed to yield [OMB Control No. 3090–0283; Docket 2015– on your attached document. quantitative results. The Digital Government Strategy released by the 0001; Sequence 16] • Mail: General Services White House in May, 2012 drives Administration, Regulatory Secretariat Submission for OMB Review; agencies to have a more customer- Division (MVCB), 1800 F Street NW., Contractor Information Worksheet; centric focus. Because of this, GSA Washington, DC 20405. ATTN: Ms. GSA Form 850 anticipates an increase in requests to Flowers/IC 3090–0283, Contractor use this generic clearance, as the plan AGENCY: Identity, Credential, and Information Worksheet; GSA Form 850. states that: A customer-centric principle Access Management (ICAM) Division, Instructions: Please submit comments charges us to do several things: Conduct Office of Security, Office of Mission only and cite Information Collection research to understand the customer’s Assurance (OMA), General Services 3090–0283, Contractor Information business, needs and desires; ‘‘make Administration (GSA). Worksheet; GSA Form 850, in all content more broadly available and ACTION: Notice of request for comments correspondence related to this accessible and present it through regarding an extension to an existing collection. Comments received generally multiple channels in a program-and OMB clearance. will be posted without change to http:// device-agnostic way; make content more www.regulations.gov, including any accurate and understandable by SUMMARY: Under the provisions of the personal and/or business confidential maintaining plain language and content Paperwork Reduction Act, the information provided. To confirm freshness standards; and offer easy Regulatory Secretariat Division will be receipt of your comment(s), please paths for feedback to ensure we submitting to the Office of Management check www.regulations.gov, continually improve service delivery. and Budget (OMB) a request to review approximately two to three days after The customer-centric principle holds and approve a previously approved submission to verify posting (except true whether our customers are internal information collection requirement, allow 30 days for posting of comments (e.g., the civilian and military federal with changes, expanding the coverage of submitted by mail). mstockstill on DSK4VPTVN1PROD with NOTICES workforce in both classified and the information collection of the Contractor Information Worksheet; GSA FOR FURTHER INFORMATION CONTACT: Mr. unclassified environments) or external Phil Ahn, Deputy Director, OMA (e.g., individual citizens, businesses, Form 850. GSA requires OMB approval for this Identity Credential and Access research organizations, and state, local, Management Division, GSA, telephone and tribal governments).’’ collection to make determinations on granting unescorted physical access to 202–501–2447 or via email at B. Annual Reporting Burden GSA-controlled facilities and/or logical phillip.ahn@gsa.gov. Respondents: 160,082. access to GSA-controlled information SUPPLEMENTARY INFORMATION: VerDate Sep<11>2014 17:48 Apr 07, 2016 Jkt 238001 PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 E:\FR\FM\08APN1.SGM 08APN1

20640 Federal Register / Vol. 81, No. 68 / Friday, April 8, 2016 / Notices A. Purpose information collection documents from develop a ‘‘culture of safety’’ such that The U.S. Government conducts the General Services Administration, their workforce and processes focus on criminal checks to establish that Regulatory Secretariat Division (MVCB), improving the reliability and safety of applicants or incumbents working for 1800 F Street NW., Washington, DC care for patients (IOM, 1999; To Err is the Government under contract may 20405, telephone 202–501–4755. Please Human: Building a Safer Health have unescorted access to federally cite OMB Control No. 3090–0283, System). To respond to the need for controlled facilities. GSA uses the Contractor Information Worksheet; GSA tools to assess patient safety culture in Contractor Information Worksheet; GSA Form 850 in all correspondence. The health care, AHRQ developed and pilot Form 850, and digitally captured form can be downloaded from the GSA tested the Hospital Survey on Patient fingerprints to conduct a FBI National Forms Library at http://www.gsa.gov/ Safety Culture with OMB approval Criminal Information Check (NCIC) for forms. Type GSA 850 in the form search (OMB NO. 0935–0115; Approved each contractor’s physical access field. 2/4/2003). determination to GSA-controlled Dated: March 31, 2016. The survey is designed to enable facilities and/or logical access to GSA- David A. Shive, hospitals to assess staff opinions about controlled information systems. Manual Chief Information Officer. patient safety issues, medical errors, and fingerprint card SF–87 is used for [FR Doc. 2016–08146 Filed 4–7–16; 8:45 am] error reporting. The survey includes 42 exception cases such as contractor’s items that measure 12 composites of BILLING CODE 6820–34–P significant geographical distance from patient safety culture. AHRQ made the fingerprint enrollment sites. survey publicly available along with a The Office of Management and Budget Survey User’s Guide and other toolkit DEPARTMENT OF HEALTH AND materials in November 2004 on the (OMB) Guidance M–05–24 for HUMAN SERVICES AHRQ Web site (located at http:// Homeland Security Presidential Directive (HSPD) 12, authorizes Federal Agency for Healthcare Research and www.ahrq.gov/professionals/quality- departments and agencies to ensure that Quality patient-safety/patientsafetyculture/ contractors have limited/controlled hospital/index.html). Since its release, access to facilities and information Agency Information Collection the survey has been voluntarily used by systems. GSA Directive CIO P 2181.1 Activities: Proposed Collection; hundreds of hospitals in the U.S. Homeland Security Presidential Comment Request The Hospital SOPS Comparative Directive-12, Personal Identity Database consists of data from the Verification and Credentialing (available AGENCY: Agency for Healthcare Research AHRQ Hospital Survey on Patient at http://www.gsa.gov/hspd12), states and Quality, HHS. Safety Culture. Hospitals in the U.S. are that GSA contractors must undergo a ACTION: Notice. asked to voluntarily submit data from minimum of an FBI National Criminal the survey to AHRQ, through its Information Check (NCIC) to receive SUMMARY: This notice announces the contractor, Westat. The Hospital SOPS unescorted physical access to GSA- intention of the Agency for Healthcare Database (OMB NO. 0935–0162, last controlled facilities and/or logical Research and Quality (AHRQ) to request approved on September 26, 2013) was access to GSA-controlled information that the Office of Management and developed by AHRQ in 2006 in systems. Budget (OMB) approve the proposed response to requests from hospitals Contractors’ Social Security Number information collection project: interested in knowing how their patient is needed to keep records accurate, ‘‘Hospital Survey on Patient Safety safety culture survey results compare to because other people may have the same Culture Comparative Database.’’ In those of other hospitals in their efforts name and birth date. Executive Order accordance with the Paperwork to improve patient safety. 9397, Numbering System for Federal Reduction Act, 44 U.S.C. 3501–3521, AHRQ invites the public to comment on Rationale for the information Accounts Relating to Individual collection. The Hospital SOPS and the Persons, also allows Federal agencies to this proposed information collection. Comparative Database support AHRQ’s use this number to help identify DATES: Comments on this notice must be goals of promoting improvements in the individuals in agency records. received by June 7, 2016. quality and safety of health care in ADDRESSES: Written comments should hospital settings. The survey, toolkit B. Annual Reporting Burden be submitted to: Doris Lefkowitz, materials, and comparative database Respondents: 25,000. Reports Clearance Officer, AHRQ, by results are all made publicly available Responses per Respondent: 1. email at doris.lefkowitz@AHRQ.hhs.gov. on AHRQ’s Web site. Technical Total Annual Responses: 25,000. Copies of the proposed collection assistance is provided by AHRQ through Hours per Response: .25. plans, data collection instruments, and its contractor at no charge to hospitals, Total Burden Hours: 6,250. specific details on the estimated burden to facilitate the use of these materials for C. Public Comments can be obtained from the AHRQ Reports hospital patient safety and quality Clearance Officer. improvement. Public comments are particularly FOR FURTHER INFORMATION CONTACT: invited on: Whether this collection of Request for information collection Doris Lefkowitz, AHRQ Reports approval. AHRQ requests that the Office information is necessary and whether it Clearance Officer, (301) 427–1477, or by will have practical utility; whether our of Management and Budget (OMB) email at doris.lefkowitz@AHRQ.hhs.gov. reapprove, under the Paperwork mstockstill on DSK4VPTVN1PROD with NOTICES estimate of the public burden of this SUPPLEMENTARY INFORMATION: Reduction Act of 1995, AHRQ’s collection of information is accurate, and based on valid assumptions and Proposed Project collection of information for the AHRQ methodology; ways to enhance the Hospital Survey on Patient Safety quality, utility, and clarity of the Hospital Survey on Patient Safety Culture (Hospital SOPS) Comparative information to be collected. Culture Comparative Database Database; OMB NO. 0935–0162, last Obtaining Copies of Proposals: In 1999, the Institute of Medicine approved on September 26, 2013. Requesters may obtain a copy of the called for health care organizations to This database will: VerDate Sep<11>2014 17:48 Apr 07, 2016 Jkt 238001 PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 E:\FR\FM\08APN1.SGM 08APN1


Document Created: 2018-02-07 13:50:10
Document Modified: 2018-02-07 13:50:10
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of request for comments regarding an extension to an existing OMB clearance.
DatesSubmit comments on or before: May 9, 2016.
ContactMr. Phil Ahn, Deputy Director, OMA Identity Credential and Access Management Division, GSA, telephone 202- 501-2447 or via email at [email protected]
FR Citation81 FR 20639 
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR