PROFESSIONAL EVALUATION

ICR 198110-0704-002

OMB: 0704-0035

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
108461 Migrated
ICR Details
0704-0035 198110-0704-002
Historical Active 198007-0704-020
DOD/DODDEP
PROFESSIONAL EVALUATION
Revision of a currently approved collection   No
Regular
Approved without change 12/10/1981
Retrieve Notice of Action (NOA) 10/23/1981
  Inventory as of this Action Requested Previously Approved
10/31/1983 10/31/1983 10/31/1981
9,000 0 6,000
4,500 0 3,500
0 0 0

THE INFORMATION PROVIDES AN EVALUATION TO THE APPLICANTS ABILITIES AND PERSONAL TRAITS WHICH PROMISE SUCCESS IN AN OVERSEAS TEACHING ASSIGNMENT WITH DOD.

None
None


No

1
IC Title Form No. Form Name
PROFESSIONAL EVALUATION DS5011

  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 9,000 6,000 0 3,000 0 0
Annual Time Burden (Hours) 4,500 3,500 0 1,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
10/23/1981


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