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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1091-0001
ICR Reference No:
200903-1091-001
Status:
Historical Active
Previous ICR Reference No:
200603-1091-001
Agency/Subagency:
DOI/OEO
Agency Tracking No:
Title:
Applicant Background Survey
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
07/10/2009
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/10/2009
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2012
36 Months From Approved
07/31/2009
Responses
335,820
335,820
535,160
Time Burden (Hours)
11,194
11,194
26,758
Cost Burden (Dollars)
0
0
0
Abstract:
The collection of personal background data on job applicants is for purposes of planning and assessing affirmative employment program initiatives. Under these procedures, applicants and selectees are requested to provide, on a purely voluntary basis, information on their race, ethnic origin, gender, and disability to help ensure Department personnel practices meet the requirements of Federal law.
Authorizing Statute(s):
US Code: 5 USC Chapter 72, Section 7201 Name of Law: Antidiscrimination Policy
US Code: 42 USC 2000e Name of Law: Civil Rights Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
73 FR 72518
11/28/2008
30-day Notice:
Federal Register Citation:
Citation Date:
74 FR 16415
04/10/2009
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Applicant Background Survey
DI 1935
Applicant Background Survey
ICR Summary of Burden
Total Approved
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
335,820
535,160
0
0
-199,340
0
Annual Time Burden (Hours)
11,194
26,758
0
0
-15,564
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
There is a decrease in the burden because of two factors. One is the use of automated submission of the form has reduced the estimated time to complete the form. Secondly, there have been fewer job applicants for positions advertised, reducing the overall number of forms submitted.
Annual Cost to Federal Government:
$45,192
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [PPACA, P.L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Act [Dodd-Frank Wall Street Reform and Consumer Protection Act, P.L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Agency Contact:
Linda Thomas 202 208-1294 linda.thomas@nbc.gov
Common Form ICR:
No
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:
04/10/2009
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