View RCF - OIRA Conclusion

Title: DOI Use of Demographic Information on Applicants Form

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 05/30/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/30/2017
Terms of Clearance:

Description of Agency Usage: DOI use of this common form.

Authorizing Statute(s): None

Annual Cost to Federal Government: $66,501
Agency Contact: David Alspach 202 219-8526 david_d_alspach@nbc.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Applicant Background Questionnaire		366,680	18,334	0	Other
Applicant Background Questionnaire		366,680	18,334	0	Form	3046-0046	Demographic Information on Applicants

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	366,680	366,680
Annual Time Burden (Hours)	18,334	18,334
Annual Cost Burden (Dollars)	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: