Information Collection

Personal Qualifications Statement And Continuation Sheet For Personal Qualifications Statement

IC 176541 under ICR 197808-3206-008 · OMB 3206-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0012 can be found here:

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Information Collection (IC) Details

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IC Title:	PERSONAL QUALIFICATIONS STATEMENT AND CONTINUATION SHEET FOR PERSONAL QUALIFICATIONS STATEMENT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-171				No	No
Form	& 171A				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,200,000	200,000	1,000,000
Annual IC Time Burden (Hours)	1,100,000	100,000	1,000,000
Annual IC Cost Burden (Dollars)	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.