Questionnaire for National Security Positions

Standard Form 86 Revised July 2008 Office of Personnel Management 5 CFR Parts 731, 732, and 736 Form approved: OMB No. 3206 0005 NSN 7540-00 634-4036 86-111 Questionnaire for National Security Positions Follow instructions fully or we cannot process your form. If you have any questions, contact the office that gave you the United States ( ) Government conducts background investigations and reinvestigations of persons under consideration for or retention in National Security Positions as defined in 5 CFR 732 and for Positions requiring access to classified information under Executive Order , misrepresenting, or falsifying information will have an impact on a Security clearance, employment prospects, or job status, up to and including denial or revocation of your Security clearance, or your removal and debarment from Federal form is a permanent document that may be used as the basis for future investigations, Security clearance determinations, and determinations of your suitability for employment.

QUESTIONNAIRE FOR NATIONAL SECURITY POSITIONS Standard Form 86 Revised July 2008 U.S. Office of Personnel Management 5 CFR Parts 731, 732, and 736

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