View Information Collection Request (ICR) Package

OMB Control No: 3206-0182	ICR Reference No: 201004-3206-015
Status: Historical Active	Previous ICR Reference No: 200608-3206-003
Agency/Subagency: OPM	Agency Tracking No:
Title: Declaration for Federal Employment
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 11/01/2010
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/17/2011
	Date Received in OIRA: 10/29/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2011	6 Months From Approved	03/31/2011
Responses	178,114	0	474,000
Time Burden (Hours)	44,529	0	118,500
Cost Burden (Dollars)	0	0	0

Abstract: The Declaration for Federal Employment Optional Form (OF) 306, is completed by applicants who are under consideration for Federal or Federal contract employment. The OF 306 requests that the applicant provide personal identifying data, including convictions, imprisonments, probations, paroles or military court martial in the past 10 years, delinquency on a Federal debt, Selective Service Registration, United States military service and Federal civilian or military retirement pay or pension received or applied for. OPM accepted comments received from federal agencies from the 60-day Federal Register Notice, published in the Federal Register on April 19, 2010 (Federal Register Notices / Volume 75, Number 74, page 20399) regarding: a) formatting changes for the collection of middle names and suffixes, b) to collect the country of citizenship of the respondent in order to assist agencies in the hiring process for the majority of federal positions that may be filled only by U.S. citizens. c) to collect information as to whether the respondent has been arrested/charged in the past 10 years; however, OPM intends to limit the scope of the collection to the past 7 years for this collection and to change the collection for conviction, imprisonment, probation, parole, and military court-martial to the past 7 years vice 10. Amendments to the form will include the accepted comments and an acknowledgement in the title of the form that it is a form that may be used in the assessment of fitness for federal contract employment. Also, a recommendation that OPM develop an automated version of the form to include electronic signature to minimize the burden on job candidates and streamline the hiring process will be taken into future consideration

Emergency Justfication: The 30 Day Federal Register notice is scheduled to publish on November 1st, 1 day after this collections' expiration date. We request an emergency review of this information collection request to allow for the additional publication time. The 30 Day notice is currently published on the Federal Register web site as a public inspection document. This public inspection document has been uploaded to this submission request under Supplementary Documents for review.

Authorizing Statute(s): US Code: 5 USC 1302, 3301, 3304, 3328, 8716
US Code: 5 USC 1104

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:
	75 FR 20399	04/19/2010
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
Declaration for Federal Employment	OF 306

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	178,114	474,000	-295,886
Annual Time Burden (Hours)	44,529	118,500	-73,971
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There has been a decrease in the number of applicants utilizating this form.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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 [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? Uncollected

Agency Contact: Michele DeMarion 724 794-5612 ext. 5274 Michele.DeMarion@opm.gov

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