PERSONNEL RESEARCH QUESTIONNAIRE 79-1

ICR 198109-3206-002

OMB: 3206-0094

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
156827 Migrated
ICR Details
3206-0094 198109-3206-002
Historical Active 197901-3206-002
OPM
PERSONNEL RESEARCH QUESTIONNAIRE 79-1
Revision of a currently approved collection   No
Regular
Approved without change 09/22/1981
Retrieve Notice of Action (NOA) 09/14/1981
The proposed single RSN Data Collection Form (SF 181) will be used in place of this form and the OPM 1377. This form is extended until January 31, 1981, at which time the replacement should be used.
  Inventory as of this Action Requested Previously Approved
01/31/1982 01/31/1982 10/31/1981
200,000 0 454,000
34,000 0 75,666
0 0 0

USED BY OPM TO COLLECT RACE, SEX, AND NATIONAL ORIGIN DATA FOR DETERMINING IMPACT OF SELECTION PROCEDURES AND TO MONITOR EFFECTIVENES OF AFFIRMATIVE ACTION AND FEORP PROGRAMS.

None
None


No

1
IC Title Form No. Form Name
PERSONNEL RESEARCH QUESTIONNAIRE 79-1 OPM 1377

  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 200,000 454,000 0 0 -254,000 0
Annual Time Burden (Hours) 34,000 75,666 0 0 -41,666 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.
09/14/1981


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