MINORITY BACKGROUND SURVEY QUESTIONNAIRE 79-2

ICR 198109-3068-014

OMB: 3068-0038

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
152537 Migrated
ICR Details
3068-0038 198109-3068-014
Historical Active 198104-3068-025
FHLBB
MINORITY BACKGROUND SURVEY  QUESTIONNAIRE 79-2
Revision of a currently approved collection   No
Regular
Approved without change 10/04/1981
Retrieve Notice of Action (NOA) 09/24/1981
  Inventory as of this Action Requested Previously Approved
02/28/1983 02/28/1983 12/31/1981
1,000 0 1,000
167 0 167
0 0 0

THIS FORM IS USED TO COLLECT MONORITY GROUP DATA FROM APPLICANTS SO THAT WE CAN ASSESS THE EFFECTIVENESS OF RECRUITMENT EFFORTS AND THE IMPACT OF SELECTION PROCEDURES.

None
None


No

1
IC Title Form No. Form Name
MINORITY BACKGROUND SURVEY  QUESTIONNAIRE 79-2 OPM 1386

  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 1,000 1,000 0 0 0 0
Annual Time Burden (Hours) 167 167 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
09/24/1981


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