AAttach a copy
of your Privacy Act Notice of a System of Records when applying to
renew OMB clearance of this form.
Inventory as of this Action
Requested
Previously Approved
02/28/1983
02/28/1983
02/28/1983
1,000
0
1,000
250
0
250
0
0
0
THE INFORMATION REQUESTED IS TO BE
UTILIZED IN CONJUNCTION WITH SUPPLEMENTAL QUALIFICATIONS STATEMENT
1234 TO EVALUATE APPLICANTS FOR THE POSITION OF SAVINGS & LOAN
EXAMINER, GS-570-5/7. THE DATA OBTAINE FROM THIS FORM WILL HELP
PROVIDE REQUIRED INFORMATION NECESSARY TO PROCESS THE INDIVIDUAL'S
APPLICATION.
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.