View Information Collection Request (ICR) Package

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: 3124-0009	ICR Reference No: 200612-3124-001
Status: Historical Active	Previous ICR Reference No: 200310-3124-001
Agency/Subagency: MSPB	Agency Tracking No:
Title: E-Appeal/US Merit Systems Protection Board Appeal Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/11/2007
	Date Received in OIRA: 12/22/2006
Terms of Clearance: This information collection request is approved as submitted, except for the request to collect the last 4 digits of an appellant's SSN, which is not approved. MSPB will delete this question prior to re-issuing this form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2010	36 Months From Approved	06/30/2007
Responses	7,150	0	6,300
Time Burden (Hours)	7,150	0	6,300
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	7,150	6,300	850
Annual Time Burden (Hours)	7,150	6,300	850
Annual Cost Burden (Dollars)	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: The annual number of responses has increased since the last approval from 6,300 to 7,150. This reflects an increased number of persons who file appeals with the MSPB. The Board has no control over the number of appeals filed, which has remained relatively stable over the years.

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