Department of Defense Security Agreement

Forms and Documents

Document Name	Status
Form DD Form 441 Department of Defense Security Agreement Form	Modified
Form DD Form 441-1 Appendage to Department of Defense Security Agreement Form	Modified
0705-0010_SSA_9.10.25.docx Supporting Statement A	2025-09-10

IC Document Collections

IC ID	Document Title	Status
5289	Department of Defense Security Agreement Form	Modified
237805	Appendage to Department of Defense Security Agreement Form	Modified

ICR Details

OMB Control No: 0705-0010	ICR Reference No: 202508-0705-002
Status: Received in OIRA	Previous ICR Reference No: 202212-0705-001
Agency/Subagency: DOD/OUSDI	Agency Tracking No:
Title: Department of Defense Security Agreement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/10/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	4,423	4,021
Time Burden (Hours)	957	870
Cost Burden (Dollars)	94,929	75,058

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Abstract: The execution of the DD Forms 441 and 441-1 are factors in making a determination as to whether a contractor is eligible to have a facility security clearance. They are also a legal basis for imposing National Security Program (NISP) security requirements on eligible contractors.

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Authorizing Statute(s): EO: EO 12829 Name/Subject of EO: National Industrial Security Program
  

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:
	90 FR 29536	07/03/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 43588	09/09/2025
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
Appendage to Department of Defense Security Agreement	DD Form 441-1	Appendage to Department of Defense Security Agreement
Department of Defense Security Agreement	DD Form 441	Department of Defense Security Agreement

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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	4,423	4,021	0	402	0	0
Annual Time Burden (Hours)	957	870	0	87	0	0
Annual Cost Burden (Dollars)	94,929	75,058	0	19,871	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: The average hourly wage for respondents has increased due to inflation and cost of living adjustments. This resulted in an increase in the labor burden per response, even though the response time remains unchanged. The number of respondents has increased commensurate with the expansion and growth of the National Industrial Security Program. This expansion reflects increased government contracting activity, new security requirements, and expansion of cleared facilities. This expansion has led to a corresponding increase in the total number of DD Form 441s and DD Form 441-1s processed annually, directly contributing to the overall increase in burden hours.

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Annual Cost to Federal Government: $19,693

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.     No

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.     No

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: 09/10/2025

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