View Information Collection Request (ICR) Package

OMB Control No: 3206-0248	ICR Reference No: 201101-3206-001
Status: Historical Active	Previous ICR Reference No: 200710-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: Application for Senior Administrative Law Judge & Geographic Preference Statement for Senior Administrative Law Judge
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 01/19/2011
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/08/2011
	Date Received in OIRA: 01/19/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	6 Months From Approved
Responses	350	0	0
Time Burden (Hours)	163	0	0
Cost Burden (Dollars)	0	0	0

Abstract: OPM 1655 and OPM 1655A will be used by retired Administrative Law Judges seeking reemployment to complete hearings in accordance with the Administrative Procedures Act of 1946. These forms will streamline the application process by providing all needed information on 2 forms.

Emergency Justfication: This is to request an emergency extension for OPM Forms 1655 and 1655-A, OMB Control Number: 3206-0248. On October 7, 2010, the Office of Personnel Management (OPM) published a 60-day Federal Register Notice Vol. 75, No. 194 regarding a proposed rule to permanently eliminate the licensure requirement for incumbent Administrative Law Judges (ALJs) covered under the ALJ Program. Comments regarding this proposed rule are due on December 6, 2010. The rules concerning licensure requirements for incumbent ALJs may change, and could have a direct link to Senior ALJs, who utilize these forms to apply for the Senior ALJ Program. The final rule may greatly impact the Senior ALJ Program as the forms will require that revisions be made once the rule becomes final. As such, we are requesting a 6-month emergency extension based on the outcome of rulemaking. We presently anticipate that, at a minimum, a 6-month extension will be needed for an adequate time for OPM to evaluate public comments on the proposed rule and to revise the forms, as necessary, in conjunction with issuing the final rule. The expiration of these forms will cause unnecessary burden to retired ALJs, as the forms are tailored toward the specific requirements of the Senior ALJ Program, and eliminate the need to solicit additional information from Senior ALJ applicants.

Authorizing Statute(s): US Code: 5 USC 3323(b)

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
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Application for Senior Administrative Law Judge	OPM 1655
Geographic Preference Statement for Senior Administrative Law Judge Applicant	OPM 1655A

ICR Summary of Burden

	Total Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses	350	350
Annual Time Burden (Hours)	163	163
Annual Cost Burden (Dollars)	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:

Annual Cost to Federal Government: $59,219

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: Miles Windsor 202 606-8358 miles.windsor@opm.gov

View ICR - OIRA Conclusion