INDIVIDUAL NOMINEE EVALUATION FORM

ICR 198011-3206-002

OMB: 3206-0118

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
156874 Migrated
ICR Details
3206-0118 198011-3206-002
Historical Active
OPM
INDIVIDUAL NOMINEE EVALUATION FORM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/30/1980
Retrieve Notice of Action (NOA) 11/26/1980
  Inventory as of this Action Requested Previously Approved
11/30/1982 11/30/1982
1,500 0 0
750 0 0
0 0 0

FORM IS FOR RECOMMENDING CANDIDATES FOR THE FEDERAL JUNIOR FELLOWSHIP PROGRAM, A CAREER RELATED WORK STUDY PROGRAM. TO BE ELIGI BLE, STUDENTS MUST BE NOMINATED BY THEIR HIGH SCHOOL. THE FORM IS FILLED OUT BY THE SCHOOL AND IS SUBMITTED TO THE EMPLOYING AGENCY. TH INFORMATION HELPS AGENCIES DETERMINE WHICH CANDIDATE TO SELECT.

None
None


No

1
IC Title Form No. Form Name
INDIVIDUAL NOMINEE EVALUATION FORM OPM 1453-A

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,500 0 0 1,500 0 0
Annual Time Burden (Hours) 750 0 0 750 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/26/1980


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