Information Collection

Personal Qualifications Statement And Continuation Sheet For Personal Qualifications Statement, Sf 171 And 171-a

IC 176542 under ICR 198101-3206-003 · OMB 3206-0012.

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Information Collection (IC) Details

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IC Title:	PERSONAL QUALIFICATIONS STATEMENT AND CONTINUATION SHEET FOR PERSONAL QUALIFICATIONS STATEMENT, SF 171 AND 171-A	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

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	858,465	-341,535	1,200,000
Annual IC Time Burden (Hours)	795,650	-304,350	1,100,000
Annual IC Cost Burden (Dollars)	0	0	0

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