SUPPLEMENTAL APPLICATION FOR EMPLOYMENT WITH DOD OVERSEAS DEPENDENTS SCHOOLS

ICR 198110-0704-003

OMB: 0704-0052

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0704-0052 198110-0704-003
Historical Active 198007-0704-019
DOD/DODDEP
SUPPLEMENTAL APPLICATION FOR EMPLOYMENT WITH DOD OVERSEAS DEPENDENTS SCHOOLS
Revision of a currently approved collection   No
Regular
Approved without change 12/15/1981
Retrieve Notice of Action (NOA) 10/23/1981
Prior to resubmitting, DOD should seek OPM's review and comments on this form.
  Inventory as of this Action Requested Previously Approved
12/31/1982 12/31/1982 10/31/1981
4,500 0 3,000
2,250 0 2,500
0 0 0

TO PROVIDE, IN BRIEF, PERSONAL, PROFESSIONAL, AND ACADEMIC DATA FOR USE IN SCREENING APPLICATIONS FOR EMPLOYMENT WITH DODDS.

None
None


No

1
IC Title Form No. Form Name
SUPPLEMENTAL APPLICATION FOR EMPLOYMENT WITH DOD OVERSEAS DEPENDENTS SCHOOLS DS5010

  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 4,500 3,000 0 0 1,500 0
Annual Time Burden (Hours) 2,250 2,500 0 0 -250 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.
10/23/1981


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