DHS Form 5207 Seeks OMB Blessing, Yawn
Published Date: 9/9/2026
Notice
Summary
The Department of Homeland Security will submit the following Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and clearance in accordance with the Paperwork Reduction Act of 1995.
Analyzed Economic Effects
4 provisions identified: 1 benefits, 3 costs, 0 mixed.
DHS Form 5207 Required for Hiring
If you apply for a DHS medical position, you must complete the DHS Health Care Provider Credentialing Form (DHS Form 5207) during pre‑hiring so OHS/HCSOD can perform primary source credential and education verification before a final offer is made.
Estimated Time Burden for Respondents
DHS estimates the collection is annual, with 70 medical professional respondents, each taking about 30 minutes to complete the form, for a total estimated burden of 2,100 hours.
Personal Data Collected and Who Sees It
DHS Form 5207 collects personally identifiable information such as name, date of birth, home address, other names used, license and certification numbers (state license, DEA number, NPI), education and certification issue/expiration dates, and basic life support certification. Credentialing records are accessible to approximately two OHS/HCSOD staff and relevant Component human capital staff, and the system uses PIV authentication and audit trails.
Electronic Updates After PIV Reduce Refiling
After a DHS personal identity verification (PIV) card is issued, the system emails a unique record link to the medical professional so they can update license and certification renewals electronically instead of resubmitting a new DHS Form 5207 each renewal.
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Key Dates
Department and Agencies
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