Information Collection

Pre-employment Job Reference

IC 124630 under ICR 198107-1510-005 · OMB 1510-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0003 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	PRE-EMPLOYMENT JOB REFERENCE	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	TFS 5489				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 639	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	639	573	66
Annual IC Time Burden (Hours)	315	282	33
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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