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Questionnaire For National Security Positions
Public burden reporting for this collection of information is estimated to average 150 minutes per response, including time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to U.S. Office of Personnel Management,
Federal Investigative Services, Attn: OMB Number 3206-0005, 1900 E. Street N.W., Washington, DC 20415. Do not send your completed form to this address;
send it to the office that provided you the form. The OMB clearance number, 3206-0005, is currently valid. OPM may not collect this information, and you are
not required to respond, unless this number is displayed.
QUESTIONNAIRE FOR
NATIONAL SECURITY POSITIONS
Standard Form 86
Revised December 2010
U.S. Office of Personnel Management
5 CFR Parts 731, 732, and 736
Form approved:
OMB No. 3206 0005
LOCATION CODES
PUBLIC BURDEN INFORMATION
South Dakota SD
Tennessee TN
Texas TX
Utah UT
Vermont VT
Virginia VA
Washington WA
West Virginia WV
Wisconsin WI
Wyoming WY
Wake Island WQ
APO/FPO America AA
APO/FPO Europe AE
APO/FPO Pacific AP
New Mexico NM
New York NY
North Carolina NC
North Dakota ND
Ohio OH
Oklahoma OK
Oregon OR
Pennsylvania PA
Rhode Island RI
South Carolina SC
Palmyra Atoll LQ
Puerto Rico PR
Virgin Islands, United VI
States
Massachusetts MA
Michigan MI
Minnesota MN
Mississippi MS
Missouri MO
Montana MT
Nebraska NE
Nevada NV
New Hampshire NH
New Jersey NJ
Midway Islands MQ
Navassa Island BQ
Northern Mariana Islands
MP
Palau PW
Hawaii HI
Idaho ID
Illinois IL
Indiana IN
Iowa IA
Kansas KS
Kentucky KY
Louisiana LA
Maine ME
Maryland MD
Johnson Atoll JQ
Kingman Reef KQ
Marshall Islands MH
Micronesia, Federated FM
States
Alabama AL
Alaska AK
Arizona AZ
Arkansas AR
California CA
Colorado CO
Connecticut CT
Delaware DE
District of Columbia DC
Florida FL
Georgia GA
American Samoa AS
Baker Island FQ
Guam GU
Howland Island HQ
Jarvis Island DQ
V Applicant affiliation
None
J SON
(Submitting Office Number)
Initial
Reinvestigation
S Investigative requirement
Investigating agency user only
Codes: (FIPC CODES)
Case Number:
P Obligating document number Q Business Event Type Code
R Accounting data and/or Agency case number
T Requesting official - Name
Title Signature
Title
Telephone number
(Include Ext.)
FED CIV
CON
Other
Other address/Web address of e-OPF
Zip Code
A Type of investigation
C Sensitivity level Compu/ADP D Access/Eligibility E Nature of action code
G Geographic location
H Position code I Position title
K Location of official personnel folder
U Secondary requesting official - Name
B Extra coverage/Advance results
NPRC
At SON
e-OPF
Other
L SOI (Security Office Identifier) M Location of security folder
None
NPI
At SOI
Other
Other address
Email address
Email address Telephone number (Include Ext.) Date (Month/Day/Year)
FOR COMPETITIVE SERVICE INITIAL APPOINTMENTS ONLY: WHEN THE OF306, RESUME, AND OTHER INFORMATION PROVIDED
IN THE HIRING PROCESS APPEARS TO BE DISCREPANT WITH INFORMATION PROVIDED ON THIS QUESTIONNAIRE, THOSE
DISCREPANT DOCUMENTS MUST BE FORWARDED WITH THIS QUESTIONNAIRE TO OPM FOR ACTION.
Zip Code
MIL
N IPAC
O Treasury Account Symbol
AGENCY USE BLOCK "AUB"
W Deployment/PCS - (Do not provide deployment data if Classified or Sensitive information)
Point of contact at location Address/Unit/Duty location (Include City or Post Name)
Commercial and Government Entity (CAGE) Code Contract Number
F Date of action (Month/Day/Year)
Agency Special Instructions for the Investigative Service Provider.
Reason(s) for temporary duty assignment or PCSFrom (Month/Day/Year)
Location
(if imminent)
Telephone number (Include Ext.)
Est.
Permanent Relocation
Est. To
(Month/Day/Year)
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