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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:
3046-0046
ICR Reference No:
202004-3046-001
Status:
Historical Active
Previous ICR Reference No:
201702-3046-002
Agency/Subagency:
EEOC
Agency Tracking No:
Title:
Applicant Background Questionnaire
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
07/27/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/04/2020
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2023
36 Months From Approved
07/31/2020
Responses
5,042
0
5,800
Time Burden (Hours)
252
0
290
Cost Burden (Dollars)
0
0
0
Abstract:
The Demographic Information on Applicants form is designed to enable federal agencies to evaluate their employment practices by collecting and analyzing data on the race, national origin, sex and disability status of applicants for employment.
Authorizing Statute(s):
US Code:
29 USC 791
Name of Law: Rehabilitation Act 1973
US Code:
42 USC 2000e
Name of Law: Title VII of the Civil Rights Act of 1964
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:
85 FR 10431
02/24/2020
30-day Notice:
Federal Register Citation:
Citation Date:
85 FR 26466
05/04/2020
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Applicant Background Questionnaire
3046-0046
Demographic Information on Applicants
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
5,042
5,800
0
0
-758
0
Annual Time Burden (Hours)
252
290
0
0
-38
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:
Based on EEOC's recent experience with this questionnaire, we expect that 5042 applicants will choose to complete the form for vacancies at EEOC annually. This adjustment to EEOC's estimated number of respondents resulted in a slight decrease in annual burden. EEOC has not revised its estimate of the time needed per applicant to complete the form.
Annual Cost to Federal Government:
$0
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.
Yes
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.
Yes
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
Agency Contact:
Dexter Brooks 202 663-4511
Common Form ICR:
Yes
OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 5 calendar days from the date the agency's RCF including the common form was received in OIRA.
Description/Changes for Common Form Usage:
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
DOL/DM
202007-1225-001CF
Applicant Background Questionnaire
Active
Applicant Background Questionnaire
DOI/OEO
202007-1091-001CF
DOI Use of Demographic Information on Applicants Form
Active
Applicant Background Questionnaire
CPSC
202009-3041-001CF
Applicant Background Questionnaire
Active
Applicant Background Questionnaire
TREAS/DO
202007-1505-001CF
Collection of Demographic Information
Active
Applicant Background Questionnaire
ED/OCO
202007-1860-002CF
Demographics Information on Applicants
Active
Applicant Background Questionnaire
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:
05/04/2020
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